Axillocoronary bypass in a patient with a severely atherosclerotic aorta.
We report an axillocoronary bypass in a 70-year-old man with a severely atherosclerotic, calcified aorta. The patient had insulin-dependent diabetes mellitus and had 2-vessel coronary artery disease with a lesion in the left main coronary artery. He underwent an axillary artery-circumflex artery bypass with a saphenous vein graft combined with a bypass of the left internal thoracic artery to the left anterior descending artery without aortic cross-clamping. An easy, safe procedure, axillocoronary bypass is a viable option in coronary artery bypass grafting for patients with severely atherosclerotic, calcified aortas.
Izumi
Y
Y
Department of Thoracic and Cardiovascular Surgery, Nayoro City Hospital, Japan.
Yoshida
H
H
Hasegawa
S
S
Kubota
H
H
D000368:Aged; D001018:Aortic Diseases / Q000150:complications*; D001161:Arteriosclerosis / Q000150:complications*; D001366:Axillary Artery / Q000601:surgery; D002114:Calcinosis / Q000150:complications; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000150:complications / Q000601:surgery; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D006801:Humans; D008297:Male