[Coronary artery bypass grafting by utilizing the artery grafts and bovine internal thoracic artery graft (Bioflow in an elderly patient)].
We performed coronary artery bypass grafting (CABG) in a 80-year-old male with calcified ascending aorta and severe varicose veins utilizing the bilateral internal thoracic arteries and the right gastroepiploic artery under fibrillatory arrest without aortic cross-clamp (aortic no-touch technique). After triple coronary artery bypass grafting was completed, heart failure occurred. Additional Bioflow graft to the circumflex artery restored good cardiac function. The aortic no-touch technique is a useful method for CABG in patients with severe calcified ascending aorta. This experience suggests that the Bioflow graft is a helpful conduit at an urgent situation in CABG.
Fukuda
S
S
Department of Cardiovascular Surgery, Mitsui Memorial Hospital.
Suma
H
H
Tanaka
M
M
Kobayashi
Y
Y
Tamura
S
S
Saito
T
T
Terada
Y
Y
Takayama
T
T
Wanibuchi
Y
Y
Furuta
S
S
D000368:Aged; D000369:Aged, 80 and over; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D001026:Coronary Artery Bypass / Q000379:methods; D003327:Coronary Disease / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D013895:Thoracic Arteries / Q000637:transplantation*; D016277:Ventricular Function, Left