| Off-Pump Coronary Artery Bypass Grafting through the Diaphragm Using the Splenic Artery for Inflow in a Redo Case with Chronic Renal Failure |
(Department of Cardiovascular Surgery, Aomori Rosai Hospital, Hachinohe, Japan)
| Mamoru Munakata |
Hiroyuki Itaya |
Yuichi Ono |
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Off-pump coronary artery bypass grafting (CABG) through the diaphragm is effective in redo cases who need right coronary revascularization with a patent graft. This is a rare report of this operation using the splenic artery for inflow. A 64-year-old man on chronic hemodialysis had undergone coronary artery bypass grafting (4 vessels) 9 years previously had chest pain and was transferred to our hospital with a diagnosis of acute myocardial infarction. Coronary arteriography revealed multiple stenoses of the right coronary artery with patent bypass grafts. The patient underwent emergency off-pump CABG through the diaphragm using a saphenous vein graft bridging from the splenic artery to the posterior descending branch and A-V node branch using the sequential method. The graft was patent in postoperative angiography and he was discharged on the 13th day after the operation, free of angina.
Jpn. J. Cardiovasc. Surg. 35: 268-270 (2006) |
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