Redo CABG Through a Transabdominal Approach: A Case Report.
- Author:
Hong Kwan KIM
1
;
Ki Bong KIM
Author Information
1. Department of Thoracic, Seoul National University Hospital, Seoul National University College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Coronary artery bypass;
Reoperation
- MeSH:
Angina, Unstable;
Coronary Artery Bypass;
Coronary Vessels;
Female;
Heart;
Humans;
Middle Aged;
Reoperation;
Sternotomy;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(7):553-555
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transabdominal approach in redo coronary artery bypass grafting(CABG) may avoid the risk related to repeat sternotomy. Redo CABG using this approach can be performed safely in selected cases. We report a case of redo off-pump CABG through a transabdominal approach in a 59-year-old woman with recurrent unstable angina after a previous CABG. Through a curvilinear epigastric incision, right gastroepiploic artery(RGEA) was harvested as a graft, and the RGEA-to-right coronary artery anastomosis was performed on the beating heart. A 1-day postoperative angiographic study showed the patent RGEA graft, and she was discharged on postoperative 4th day without any complication.
