PMID: 26329632Sep 4, 2015Paper

Off-pump Coronary Artery Bypass Surgery Following Aortic Root Replacement for Acute Type A Dissection ; Report of a Case

Kyobu geka. The Japanese journal of thoracic surgery
Hiroyuki SaitoYuta Kume

Abstract

A 45-year-old male presented to our hospital with worsening heart failure. Computed tomography coronary angiography revealed total occulusion of the proximal left anterior descending artery (LAD). The patient had a history of acute type A dissection,and had undergone aortic root replacement. Avoiding prosthetic graft injury and bleeding,coronary revasculizaion was accomplished by left anterior thoracotomy using the left internal thoracic artery without cardiopulmonary bypass. The postoperative course was uneventful.

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