Hybrid Coronary Artery Revascularization for Takayasu Arteritis with Major Visceral Collateral Circulation from the Left Internal Thoracic Artery.
10.5090/kjtcs.2017.50.2.105
- Author:
Hyung Tae SIM
1
;
Jeong Won KIM
;
Jae Suk YOO
;
Kwang Ree CHO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Korea. ckrym@hanmail.net
- Publication Type:Case Report
- Keywords:
Takayasu arteritis;
Coronary artery disease;
Coronary artery bypass;
Internal thoracic artery;
Collateral circulation
- MeSH:
Collateral Circulation*;
Coronary Artery Bypass;
Coronary Artery Bypass, Off-Pump;
Coronary Artery Disease;
Coronary Vessels*;
Mammary Arteries*;
Mesenteric Artery, Inferior;
Mesenteric Artery, Superior;
Takayasu Arteritis*;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(2):105-109
- CountryRepublic of Korea
- Language:English
-
Abstract:
Coronary arterial involvement in Takayasu arteritis (TA) is not uncommon. Herein, we describe a case of TA with celiac trunk and superior mesenteric artery occlusion combined with coronary artery disease. Bilateral huge internal thoracic arteries (ITAs) and the inferior mesenteric artery provided the major visceral collateral circulation. After percutaneous intervention to the right coronary artery, off-pump coronary artery bypass grafting for the left coronary territory was done using a right ITA graft and its large side branch because of its relatively minor contribution to the visceral collateral circulation.
