Redo Coronary Artery Bypass Grafting via a Small Thoracotomy without Cardiopulmonary Bypass.
10.4326/jjcvs.29.175
- VernacularTitle:ＬＩＴＡ使用不能症例に対する左小開胸再冠動脈バイパス術の２例
- Author:
Tsuneo Tanaka
;
Yasuhide Okawa
;
Masahiro Toyama
;
Masaki Hashimoto
;
Narihiro Ishida
;
Koji Matsumoto
- Publication Type:Journal Article
- Keywords:
MIDCAB
- From:Japanese Journal of Cardiovascular Surgery
2000;29(3):175-178
- CountryJapan
- Language:Japanese
-
Abstract:
We report two cases the first was a 74-year-old woman who had received coronary artery bypass grafting [SVG-to-LAD, SVG-to-Cx, SVG-to-RCA, the left internal thoracic artery (LITA) was mobilized but was unsuitable for the graft] two years previously. Postoperative angiography revealed graft occlusion. Since repeated catheter intervention was not successful, reoperation was performed. A MIDCAB procedure with radial artery graft and proximal anastomosis was performed on the left axillary artery. The operation was successful and there were no complications. Two weeks after the operation, the graft patency was confirmed and she was discharged. The second case was a 64-year-old man who received coronary artery grafting (LITA-to-LAD, SVG-to-Cx and SVG-to-RCA). Two months after the operation, recurrent chest pain was caused by severe stenosis of the LITA anastomotic site. Percutaneous transluminal coronary angioplasty was performed but was unsuccessful. He received redo CABG in the same manner using the saphenous vein. The postoperative course was uneventful and he was discharged 6 days after the operation. This procedure is useful for the patients whose left internal thoracic artery has been used on a previous operation. Good early results were obtained in both patients.
