Utilizing a patent proximal vein graft stump in a case of coronary artery reoperation.
A patient was referred for coronary artery bypass reoperation. The right internal mammary artery (RIMA) was anastomosed to the left anterior descending artery (LAD) and a left radial artery graft (RA) was sequentially anastomosed to the posterior descending artery (PDA) and left ventricular branches (LVB) of the right coronary artery (RCA). The patent proximal stump of an occluded saphenous vein graft was used as an interposition segment to lengthen the RA graft, thereby avoiding the need for a further anastomosis on the ascending aorta.
Badmanaban
Balaji
B
Department of Cardiac Surgery, Dc Royal Victoria Hospital, Belfast, Northern Ireland, UK. balaji@talk21.com
Mole
Damian
D
Sarsam
Mazin A I
MA
D001026:Coronary Artery Bypass / Q000379:methods*; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012501:Saphenous Vein / Q000601:surgery* / Q000637:transplantation