Coronary Artery Bypass Grafting Combined with Total Arch Replacement for Severe Coronary Disease Complicated with Multiple Arch Vessel Stenosis
- VernacularTitle:弓部3分枝狭窄を伴った冠動脈重症3枝病変に対する弓部大動脈全置換術および冠動脈バイパス術の1例
- Author:
Masashi YADA
1
;
Kazuo YAMANAKA
1
;
Hisashi SAKAGUCHI
2
;
Atsushi IWAKURA
2
Author Information
- Keywords: coronary artery disease; carotid artery stenosis; aberrant right subclavian artery; total arch replacement; coronary artery bypass grafting
- From:Japanese Journal of Cardiovascular Surgery 2019;48(6):383-386
- CountryJapan
- Language:Japanese
- Abstract: A 72-year-old man was referred to our hospital for coronary artery bypass grafting (CABG) due to asymptomatic severe coronary artery disease. A preoperative CT revealed 99% stenosis of the aberrant right subclavian artery, 90% stenosis at the origin of right common carotid artery, and 75% stenosis at the origin of the left subclavian artery. As he had high risk of a perioperative cerebral ischemic event for CABG, it was difficult to perform a carotid artery stent. We performed a total aortic arch replacement combined with CABG. The postoperative course was uneventful, and he was discharged on the 12th postoperative day.
