| A Third CABG Procedure(Axillo-Coronary
Bypass) Using the MIDCAB Technique |
(Department of Surgery III, Nara Medical University,
Nara, Japan)
| Takehisa Abe |
Tetsuji Kawata |
Yoichi Kameda |
| Nobuoki Tabayashi |
Takashi Ueda |
Kazuhiko Nishizaki |
| Hiroshi Naito |
Shigeki Taniguchi |
|
|
A 77-year-old man had undergone
CABG (coronary artery bypass grafting) (SVGs (saphenous vein
grafts) to LAD (left anterior descending coronary artery), OM
(obtuse marginal) and RCA (right coronary artery)) 15 years previously.
Three years previously, he underwent CABG again (LITA (left internal
thoracic artery)-OM, RGEA (right gastroepiploic artery)-RCA)
due to recurrence of angina pectoris, but there was no evidence
of graft disease in the SVG to the LAD. Six months before the
present procedure, graft disease developed in the SVG to the
LAD and caused unstable angina pectoris. Therefore, the left
axillary artery was bypass grafted to the coronary artery (LAD)
using SVG without cardiopulmonary bypass by means of the MIDCAB
(minimally invasive direct coronary artery bypass) technique.
The patient has had no angina pectoris subsequently. Postoperative
angiography revealed that the graft was patent. The axillo-coronary
(LAD) bypass appears to be a useful procedure for re-revascularization
to the LAD in patients with no available arterial graft, such
as ITA (internal thoracic artery) or RGEA.
Jpn. J. Cardiovasc. Surg. 30: 86-88 (2001) |
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