[Off-pump coronary artery bypass using bilateral in situ internal thoracic artery grafts for left coronary artery system: a case report].
A 63-year-old man with triple vessel disease in the coronary artery and multiple arterial stenoses in intra-cranial vessels underwent off-pump coronary artery bypass (OPCAB). We were able to perform three coronary artery bypass grafting (in situ left internal thoracic artery (left ITA)--left anterior descending artery, in situ right ITA--circumflex artery through the transverse sinus, and saphenous vein graft--right coronary artery) using octopus 2 and "Lima" suture technique without cardio-pulmonary bypass. Operation time was 355 minutes and established blood loss was 440 ml. Postoperative course was uneventful. Postoperative angiogram revealed well patent three grafts. Using bilateral in situ ITAs OPCAB could achieve high quality.
Kawata
T
T
Department of Surgery III, Nara Medical University, Kashihara, Japan.
Kameda
Y
Y
Abe
T
T
Taniguchi
S
S
D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009203:Myocardial Infarction / Q000601:surgery; D014654:Vascular Patency