Aortic valve replacement in a patient with a patent internal thoracic artery graft.
Myocardial protection in patients requiring a second open-heart surgical procedure after coronary artery bypass grafting, especially when there is a patent left internal thoracic artery graft to the left anterior descending coronary artery, remains controversial. We present the case of a patient in whom aortic valve replacement was undertaken 18 months after coronary artery revascularization. Unusual features included beating-heart aortic valve replacement with continuous retrograde coronary sinus perfusion and avoidance of dissection of the patent grafts, including the left internal thoracic artery and a saphenous vein graft.
Ueda
Takashi
T
Department of Surgery III, Nara Medical University, Nara, Japan. u-taka@naramed-u.ac.jp
Kawata
Tetsuji
T
Sakaguchi
Hidehito
H
Tabayashi
Nobuoki
N
Abe
Takehisa
T
Hirose
Tomoaki
T
Taniguchi
Shigeki
S
D000368:Aged; D000784:Aortic Dissection / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001158:Arteries / Q000637:transplantation*; D001705:Bioprosthesis; D002315:Cardiopulmonary Bypass; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D010477:Perfusion; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D014654:Vascular Patency / Q000502:physiology*; D014680:Veins / Q000637:transplantation