Japanese Journal of Cardiovascular Surgery Vol48,No6
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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