[Reoperative off-pump coronary artery bypass surgery for restenosis after percutaneous coronary intervention as a part of hybrid revascularization chronic renal failure on hemodialysis; report of a case].
60-year-old man on chronic hemodialysis had hybrid revascularization. Percutaneous coronary intervention (PCI) for right coronary artery (RCA) combined with left internal mammary artery-left anterior descending artery anastomosis through left anterior small thoracotomy were performed. But, frequent re-stenosis after PCI necessitated 4 repeated PCI. Finally, the patient agreed to re-do, and underwent reoperative off-pump coronary artery bypass through midsternotomy. Right internal mammary artery-saphenous vein lengthened composite graft was successfully anastomosed to heavily calcified RCA without heart-lung machine. Strategy of revascularization for hemodialysis patient was discussed.
Kawashima
T
T
Division of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan.
Saito
T
T
Yokoyama
H
H
Fujiwara
T
T
Ohori
K
K
D000789:Angina, Unstable / Q000601:surgery; D001026:Coronary Artery Bypass / Q000379:methods; D003327:Coronary Disease / Q000601:surgery*; D023903:Coronary Restenosis / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation; D008875:Middle Aged; D006435:Renal Dialysis; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation