A Case of Combined Redo Off-Pump CABG with Right Gastroepiploic Artery and Abdominal Aortic Aneurysm Repair
10.4326/jjcvs.32.164
- VernacularTitle:右胃大網動脈を用いたｒｅｄｏ ｏｆｆ‐ｐｕｍｐ ＣＡＢＧと腹部大動脈りゅう人工血管置換術の一期的手術治験例
- Author:
Yoshiharu Nishimura
;
Yoshitaka Okamura
;
Keiichi Fujiwara
;
Hiroyoshi Sekii
;
Shuji Yamamoto
;
Takayuki Kuriyama
;
Kouji Toguchi
;
Kentarou Honda
- Publication Type:Journal Article
- Keywords:
OPCAB
- From:Japanese Journal of Cardiovascular Surgery
2003;32(3):164-167
- CountryJapan
- Language:Japanese
-
Abstract:
A case of combined redo off-pump CABG (OPCAB) with right gastroepiploic artery and abdominal aortic aneurysm repair is reported. A 71-year-old man with a previous history of CABG was admitted for the operation of recurrent angina pectoris and known abdominal aortic aneurysm. Preoperative coronary angiograms showed obstruction of LITA graft for LAD. The operative procedure consisted of redo OPCAB using right gastroepiploic artery as a transdiaphragmatic graft under left antero-lateral thoracotomy and graft replacement of abdominal aortic aneurysm under median laparotomy simultaneously. This strategy has the advantage of avoiding the continuity of median sternotomy and laparotomy and contributes to the minimally invasive procedure in the combined operation.
