[Use of the inferior epigastric artery in redo coronary artery bypass grafting--a case report].
A 71-year-old man who had undergone coronary artery bypass grafting (CABG) 9 years ago, was admitted for chest compression on exertion. A severe stenotic lesion (75%) of the main trunk of the left coronary artery and occlusion of the bypass graft previously implanted to the right coronary artery were showed by coronary angiography. Redo-CABG using the left inferior epigastric artery (LIEA) and left internal thoracic artery (LITA) was successfully done, since the saphenous vein and right gastroepiploic artery were not suitable for bypass graft. Post operative cource was uneventful and good patency of LIEA and LITA graft were revealed by postoperative angiography 34 days after surgery.
Second Department of Surgery, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.
M
M
Shimoji
K
K
Koja
Y
Y
Kuniyoshi
K
K
Iha
M
M
Akasaki
A
A
Kusaba
D000009:Abdominal Muscles / Q000098:blood supply*; D000368:Aged; D001158:Arteries / Q000637:transplantation; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D013895:Thoracic Arteries / Q000637:transplantation; D014654:Vascular Patency