| Coronary Artery Bypass Grafting
without Cardiopulmonary Bypass and Percutaneous Coronary Angioplasty
in a Patient with Cerebrovascular Stenosis |
(Division of Cardiovascular Surgery, Mitsui Memorial
Hospital, Tokyo, Japan)
| Sachito Fukuda |
Atsushi Itoh |
Motoo Osaka |
| Akinobu Sasaki |
Yoichi Yamashita |
Ikutarou Kigawa |
| Yasuhiko Wanibuchi |
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Complete revascularization of the
coronary artery was performed in a 73-year-old man who had severe
stenosis of the bilateral subclavian and left vertebral arteries
and severe calcification of the ascending aorta. At first, we
performed CABG (coronary artery bypass grafting) on the LAD (left
anterior descending artery) and the RCA (right coronary artery)
without cardiopulmonary bypass. In-situ GEA (gastroepiploic
artery) was anastomosed to the LAD and SVG (saphenous vein graft)
was anastomosed to 4PD (4 posterior descending artery) of the
RCA. The right brachiocephalic artery was selected as the site
of the proximal anastomosis of the SVG. A Palmaz-Schatz stent
was then held in place in the LCX (left circumflex artery) postoperatively.
The combination of CABG without cardiopulmonary bypass and PTCA
was a safe method for preventing cerebrovascular complications
in a patient with a severely calcified artery.
Jpn. J. Cardiovasc. Surg. 30: 74-76 (2001) |
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