A Case of Off-Pump CABG for Unstable Angina with High-Risk Complications Secondary to Aortitis

A Case of Off-Pump CABG for Unstable Angina with High-Risk Complications Secondary to Aortitis

（Department of Cardiovascular Surgery, Takase Clinic, Takasaki, Japan, Department of Cardiovascular Surgery, Sagamihara Kyodo Hospital*, Sagamihara, Japan, and Department of Cardiovascular Surgery, Yamato Seiwa Hospital**, Yamato, Japan）

Satoshi Sumino Minoru Matsuhama Hiroyuki Fujisaki*

Akihiro Nabuchi**

A 66-year-old woman suffered from an effort angina attack and visited our clinic. Coronary angiography revealed severe stenosis in the ostium of bilateral coronary arteries. Preoperative computed tomography（CT）demonstrated severe calcification of the aorta and aneurysmal change in the thoracic descending aorta. Off-pump CABG was performed without mechanical cardiac support using composite grafts of the right internal mammary artery and a saphenous vein graft. Graft patency was intraoperatively confirmed by SPY as well as by coronary multi detector-row computed tomography（MDCT）3 months postoperatively.
Jpn. J. Cardiovasc. Surg. 39:60-64（2010）

Keywords：aortits, off-pump GABG, unstable angina