Off-Pump Coronary Artery Bypass Grafting through the Diaphragm Using the Splenic Artery for Inflow in a Redo Case with Chronic Renal Failure
10.4326/jjcvs.35.268
- VernacularTitle:慢性透析再手術症例に対する脾動脈をｉｎｆｌｏｗとした経横隔膜的ＯＰＣＡＢの１例
- Author:
Mamoru Munakata
;
Hiroyuki Itaya
;
Yuichi Ono
- Publication Type:Journal Article
- Keywords:
OPCAB
- From:Japanese Journal of Cardiovascular Surgery
2006;35(5):268-270
- CountryJapan
- Language:Japanese
-
Abstract:
Off-pump coronary artery bypass grafting (CABG) through the diaphragm is effective in redo cases who need right coronary revascularization with a patent graft. This is a rare report of this operation using the splenic artery for inflow. A 64-year-old man on chronic hemodialysis had undergone coronary artery bypass grafting (4 vessels) 9 years previously had chest pain and was transferred to our hospital with a diagnosis of acute myocardial infarction. Coronary arteriography revealed multiple stenoses of the right coronary artery with patent bypass grafts. The patient underwent emergency off-pump CABG through the diaphragm using a saphenous vein graft bridging from the splenic artery to the posterior descending branch and A-V node branch using the sequential method. The graft was patent in postoperative angiography and he was discharged on the 13th day after the operation, free of angina.
