Fibrosing mediastinitis complicating coronary artery surgery. Use of the descending thoracic aorta.
This case illustrates the previously unreported combination of severe fibrosing mediastinitis involving the entire intrapericardial aorta, pulmonary artery, and innominate artery in a patient requiring coronary revascularization for chronic angina and multivessel coronary artery disease. Due to the mediastinal fibrosis, normal revascularization procedures and myocardial preservation techniques were altered and are described.
D001013:Aorta, Thoracic / Q000601:surgery; D001026:Coronary Artery Bypass / Q000379:methods; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000150:complications* / Q000601:surgery; D008875:Middle Aged