Redo Off-Pump Coronary Artery Bypass Grafting through Left Thoractomy Using the Aortic Connector for Proximal Graft Anastomosis on the Descending Aorta
10.4326/jjcvs.33.224
- VernacularTitle:Ａｏｒｔｉｃ ｃｏｎｎｅｃｔｏｒを用いて下行大動脈にグラフト中枢側吻合をおいた左開胸心拍動下再冠動脈バイパス術
- Author:
Yukitoki Misawa
;
Kenichi Hagiwara
;
Hitoshi Yokoyama
- Publication Type:Journal Article
- Keywords:
aortic connector
- From:Japanese Journal of Cardiovascular Surgery
2004;33(3):224-226
- CountryJapan
- Language:Japanese
-
Abstract:
A 76-year-old man who had undergone primary coronary operation through a median sternotomy 9 years previously presented with recurrent angina. Preoperative angiography revealed 90% stenosis of the circumflex coronary artery and left subclavian artery. Two saphenous vein grafts (SVG) placed in the previous operation were patent. Redo off-pump CABG was performed through a left thoracotomy approach. The proximal end of the new SVG was connected to the descending thoracic aorta using the St. Jude Medical aortic connector system. The distal anastomosis to the obtuse marginal branch was performed on a beating heart. The postoperative course was uneventful. This case suggested that, in cases requiring the proximal graft anastomosis on the descending aorta, the application of the aortic connector system can be a useful strategy, helping to facilitate the proximal anastomosis and avoid complications associated with the aortic partial-clamping on the descending aorta.
