[Left coronary ostial stenosis in aortitis syndrome--patch mounted graft technique for proximal anastomosis].
Late restenosis or total occlusion of proximal aortic anastomosis frequently occurs due to intimal proliferation in aortitis CABG patients although successful early postoperatively. A Gore-Tex patch (diameter 20 mm) mounted grafts to LAD and CX with a single ostium was sutured in the inflammatory aorta to prevent late occlusion in a 40-year-old female patient. Postoperative CAG a month after showed a patent graft to LAD and improved exercise treadmill test. Graft to Cx occluded due to competed flow from LAD. No aneurysm was found in the proximal anastomosis. Tissue nonpermeable Gore-Tex mounted graft is considered to be suitable for CABG in aortitis patients with the high incidence of late occlusion.
Yokoyama
M
M
Department of Cardiovascular Surgery, Dokkyo University School of Medicine, Koshigaya Hospital, Saitama, Japan.
Yamada
T
T
Nakahara
H
H
Oshma
N
N
Tanabe
S
S
Irie
Y
Y
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D001011:Aorta / Q000601:surgery; D001015:Aortic Arch Syndromes / Q000150:complications / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000209:etiology / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D012501:Saphenous Vein / Q000637:transplantation