We report the case of a 66-year-old male with increasing angina occurring after two previous coronary artery surgery procedures. The second operation had been complicated by severe mediastinitis necessitating surgical drainage, and sternal stabilization. Angiography revealed an occlusion of the LAD bypass with a patent LAD associated with a stenotic circumflex coronary artery. The ascending aorta was severely calcified. An off-pump axillo-LAD coronary artery bypass was safely performed in conjunction with stenting of the circumflex artery. This approach dramatically simplified the procedure and reduced the operative risk. At the 52-month follow-up, the patient is free of any angina symptoms. doi: 10.1111/jocs.12113 (J Card Surg 2013;28:388-390) © 2013 Wiley Periodicals, Inc.
Off-pump axillo-coronary artery bypass: A simple approach for high-risk myocardial revascularization / Grandmougin, D.; Maureira, J. -P.; Fiore, A.; Vanhuyse, F.; Elfarra, M.; Roudmane, N.; Portocarrero, E.; Delolme, M. -C.; Folliguet, T.; Villemot, J. -P.. - In: JOURNAL OF CARDIAC SURGERY. - ISSN 0886-0440. - 28:4(2013), pp. 388-390. [10.1111/jocs.12113]
Off-pump axillo-coronary artery bypass: A simple approach for high-risk myocardial revascularization
Fiore A.;
2013
Abstract
We report the case of a 66-year-old male with increasing angina occurring after two previous coronary artery surgery procedures. The second operation had been complicated by severe mediastinitis necessitating surgical drainage, and sternal stabilization. Angiography revealed an occlusion of the LAD bypass with a patent LAD associated with a stenotic circumflex coronary artery. The ascending aorta was severely calcified. An off-pump axillo-LAD coronary artery bypass was safely performed in conjunction with stenting of the circumflex artery. This approach dramatically simplified the procedure and reduced the operative risk. At the 52-month follow-up, the patient is free of any angina symptoms. doi: 10.1111/jocs.12113 (J Card Surg 2013;28:388-390) © 2013 Wiley Periodicals, Inc.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
