title: Minimally invasive axillary-coronary artery bypass for acute occlusion of the coronary artery.
abstract: We performed minimally invasive axillary-coronary bypass using a reversed saphenous vein graft to treat a patient with acute occlusion of the left anterior descending artery after failed percutaneous transluminal coronary angioplasty (PTCA). For patients with acute myocardial ischemia, this procedure is useful to reduce the ischemic time and is less invasive. We believe this procedure may be an alternative intervention for selected patients with acute myocardial infarction or unstable angina after PTCA. However, a large series with sufficient follow-up and late angiography is required to evaluate the long-term patency and effectiveness of this approach.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 17, Chuo-ku, Sapporo 060-8543.
authors.forename: M
authors.initials: M
authors.lastname: Ito
authors.forename: K
authors.initials: K
authors.lastname: Morishita
authors.forename: K
authors.initials: K
authors.lastname: Komatsu
authors.forename: T
authors.initials: T
authors.lastname: Abe
mesh_terms: D000714:Anastomosis, Surgical; D000789:Angina, Unstable / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary; D001158:Arteries / Q000637:transplantation; D001365:Axilla / Q000098:blood supply*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D009203:Myocardial Infarction / Q000601:surgery; D017202:Myocardial Ischemia / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation*; D017211:Treatment Failure; D014654:Vascular Patency