Percutaneous vertebral angioplasty before coronary artery bypass grafting.
We report a case of a 63-year-old male with three-vessel coronary heart disease complicated by stenosis of the bilateral vertebral arteries. Triple coronary bypass grafting, using arterial conduits, was successfully performed after percutaneous balloon angioplasty of the left vertebral artery. Precedent angioplasty of a stenotic vertebral artery is safe and protects the brain from ischemia during extracorporeal circulation.
Fukuda
I
I
Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Japan. i-fukuda@ga2.so-net.ne.jp
Mihara
W
W
Sasaki
A
A
Gomi
S
S
D000800:Angioplasty, Balloon; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D014715:Vertebrobasilar Insufficiency / Q000150:complications* / Q000628:therapy*