| Redo Coronary Artery
Bypass Grafting via a Small Thoracotomy without Cardiopulmonary
Bypass |
(Department of Cardiovascular Surgery, National
Toyohashi Higashi Hospital, Toyohashi, Japan)
| Tsuneo Tanaka |
Yasuhide Okawa |
Masahiro Toyama |
| Masaki Hashimoto |
Narihiro Ishida |
Koji Matsumoto |
|
We report two cases the first was
a 74-year-old woman who had received coronary artery bypass grafting
mSVG-to-LAD, SVG-to-Cx, SVG-to-RCA, the left internal thoracic
artery (LITA) was mobilized but was unsuitable for the graftn
two years previously. Postoperative angiography revealed graft
occlusion. Since repeated catheter intervention was not successful,
reoperation was performed. A MIDCAB procedure with radial artery
graft and proximal anastomosis was performed on the left axillary
artery. The operation was successful and there were no complications.
Two weeks after the operation, the graft patency was confirmed
and she was discharged. The second case was a 64-year-old man
who received coronary artery grafting mLITA-to-LAD, SVG-to-Cx
and SVG-to-RCA). Two months after the operation, recurrent chest
pain was caused by severe stenosis of the LITA anastomotic site.
Percutaneous transluminal coronary angioplasty was performed
but was unsuccessful. He received redo CABG in the same manner
using the saphenous vein. The postoperative course was uneventful
and he was discharged 6 days after the operation. This procedure
is useful for the patients whose left internal thoracic artery
has been used on a previous operation. Good early results were
obtained in both patients.
@Jpn. J. Cardiovasc. Surg. 29: 175-178 (2000) |
|
