| A Surgical Case of Aortic Arch
Aneurysm Which Developed Five Years after CABG |
(Department of Cardiovascular Surgery, National
Obihiro Hospital, Obi-hiro, Japan and 1st Department of Surgery,
Hamamatsu University School of Medicine*, Hamamatsu, Japan)
| Taku Sakurada |
Yoichi Kikuchi |
Junichi Koizumi |
| Takayasu Suzuki* |
Tomoyasu Hirano |
Katsuyuki Kusajima |
|
We report a successful case of graft
replacement for ascending and aortic arch aneurysm which developed
5years after CABG. A75-year-old woman, who underwent emergency
CABG (LITA-LAD, SVG-RCA) 5years previously, was admitted to our
hospital due to an abnormal shadow on chest roentogenogram. Aortogram
and coronary angiogram revealed ascending and aortic arch aneurysm
and patent LITA and SVG. Graft replacement of the ascending and
total aortic arch was carried out using four branched grafts
(Gelweave26/10/8/8＊8). Cardiopulmonary bypass was established
with right axillary arterial perfusion and bicaval cannulation.
Cardiac arrest was obtained with cold blood cardioplegia using
both retrograde and antegrade techniques. Selective cerebral
perfusion was used for brain protection. The patient was discharged
without any complication on the 27th postoperative day.
Jpn. J. Cardiovasc. Surg. 29: 290-292 (2000) |
|
