| A Case of Combined Redo Off-Pump
CABG with Right Gastroepiploic Artery and Abdominal Aortic Aneurysm
Repair |
(Department of Thoracic and Cardiovascular Surgery,
Wakayama Medical University, Wakayama, Japan)
| Yoshiharu Nishimura |
Yoshitaka Okamura |
Keiichi Fujiwara |
| Hiroyoshi Sekii |
Shuji Yamamoto |
Takayuki Kuriyama |
| Kouji Toguchi |
Kentarou Honda |
|
|
A case of combined redo off-pump
CABG (OPCAB) with right gastroepiploic artery and abdominal aortic
aneurysm repair is reported. A 71-year-old man with a previous
history of CABG was admitted for the operation of recurrent angina
pectoris and known abdominal aortic aneurysm. Preoperative coronary
angiograms showed obstruction of LITA graft for LAD. The operative
procedure consisted of redo OPCAB using right gastroepiploic
artery as a transdiaphragmatic graft under left antero-lateral
thoracotomy and graft replacement of abdominal aortic aneurysm
under median laparotomy simultaneously. This strategy has the
advantage of avoiding the continuity of median sternotomy and
laparotomy and contributes to the minimally invasive procedure
in the combined operation.
Jpn. J. Cardiovasc. Surg. 32：164 -167 (2003) |
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