Minimally invasive direct coronary artery bypass grafting using the gastroepiploic artery for reoperation after the Cabrol procedure.
Obstruction of the right coronary ostial anastomosis is a rare late complication after composite graft replacement of the ascending aorta and the aortic valve with separate Dacron coronary grafts (Cabrol method). Occlusion at the right coronary ostial anastomosis in a 36-year-old woman with aortitis syndrome who underwent a composite graft with a Dacron coronary graft is described. She underwent a third successful operation for right coronary reconstruction by minimally invasive direct coronary artery bypass grafting technique using the right gastroepiploic artery. This approach is likely to be extremely useful in avoiding resternotomy and cardiopulmonary bypass in patients requiring coronary reoperation.
Higami
T
T
Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan.
Kozawa
S
S
Asada
T
T
Obo
H
H
Gan
K
K
Iwahashi
K
K
D000328:Adult; D001011:Aorta / Q000601:surgery; D001015:Aortic Arch Syndromes / Q000601:surgery*; D001158:Arteries / Q000637:transplantation*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000601:surgery; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009852:Omentum / Q000098:blood supply*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D013270:Stomach / Q000098:blood supply*; D016896:Treatment Outcome