| An Effective Case of Intraoperative
Thermal Coronary Angiography in Coronary Artery Bypass Grafting |
(Department of Cardiovascular Surgery, Fukuoka University
School of Medicine, Fukuoka, Japan)
| Hidehiko Iwahashi |
Tadashi Tashiro |
Katsuhiko Nakamura |
| Ryuji Zaitsu |
Tadashi Motomura |
Akira Murai |
| Yutaka Tachikawa |
Satoshi Koga |
Akio Iwakuma |
| Michio Kimura |
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A 47-year-old man was admitted with
symptoms of angina pectoris. After evaluating the patient, coronary
artery bypass grafting (CABG) was performed. First, the left
internal thoracic artery (LITA) was grafted to the obtuse marginal
branch (OM), and then the right gastroepiploic artery (RGEA)
was grafted to the posterior descending branch (PD). Just after
completing anastomosis, we performed intraoperative thermal coronary
angiography. The RGEA-PD was patent. However, the LITA-OM was
not patent on thermal coronary angiography. After a re-anastomosis
was done at the LITA-OM, thermal coronary angiography was again
performed and the LITA-OM was found to be patent. The postoperative
course was uneventful, and all grafts were patent on postoperative
angiography. In conclusion, intraoperative thermal coronary angiography
was found to be useful for CABG.
Jpn. J. Cardiovasc. Surg. 30: 217-219 (2001) |
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