Japanese Journal of Cardiovascular Surgery Vol48,No6

Coronary Artery Bypass Grafting Combined with Total Arch Replacement for Severe Coronary Disease Complicated with Multiple Arch Vessel Stenosis
Masashi Yada* Kazuo Yamanaka* Hisashi Sakaguchi**
Atsushi Iwakura**

(Department of Cardiovascular Surgery, Nara Prefecture General Medical Center*, Nara, Japan, and Department of Cardiovascular Surgery, Tenri Hospital**, Nara, Japan)

A 72-year-old man was referred to our hospital for coronary artery bypass grafting(CABG)due to asymptomatic severe coronary artery disease. A preoperative CT revealed 99% stenosis of the aberrant right subclavian artery, 90% stenosis at the origin of right common carotid artery, and 75% stenosis at the origin of the left subclavian artery. As he had high risk of a perioperative cerebral ischemic event for CABG, it was difficult to perform a carotid artery stent. We performed a total aortic arch replacement combined with CABG. The postoperative course was uneventful, and he was discharged on the 12th postoperative day.

 

Jpn. J. Cardiovasc. Surg. 48:383-386(2019)

Keywords:coronary artery disease;carotid artery stenosis;aberrant right subclavian artery;total arch replacement;coronary artery bypass grafting


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