Beating coronary bypass with right-heart bypass. A safer option in patients at high risk for stroke.
Two patients with bilateral obstructive carotid artery disease underwent beating heart coronary bypass including revascularization of the circumflex branch using right-heart bypass in a stable hemodynamic state. Without this mechanical support, lifting the left ventricle for the exposure of the posterior wall could impair the hemodynamic state of the patient. Right-heart bypass in addition to aortic no-touch technique can be a safer option for complete coronary revascularization in patients at high risk for neurological complications.
Takahashi
Toshiki
T
Department of Surgery, Course of Interventional Medicine (E1), Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Ohtake
Shigeaki
S
Sawa
Yoshiki
Y
Matsumiya
Goro
G
Izutani
Hironori
H
Matsuda
Hikaru
H
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000503:physiopathology / Q000601:surgery; D002339:Carotid Arteries; D001026:Coronary Artery Bypass / Q000379:methods*; D018610:Heart Bypass, Right; D006439:Hemodynamics; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012306:Risk; D020521:Stroke / Q000517:prevention & control*; D016896:Treatment Outcome