Severe coronary artery disease with coarctation of the aorta: role of off-pump coronary artery bypass grafting.
Severe coronary artery disease with coarctation of the aorta is an unusual and challenging clinical problem. We encountered three adults with severe coronary artery disease and tight coarctation of the aorta. Since angina was the dominant symptom in all, off-pump coronary artery bypass grafting (OPCABG) was done as a first stage. All survived the operation. After a gap of 3 weeks, coarctation repair has been done in 1 patient. We believe that OPCABG offers some unique advantages in this difficult situation.
Balakrishnan
Komarakshi R
KR
Department of Cardiothoracic Surgery Ramachandra Medical College Hospital, Porur, Madras, India. krbalakrishnan@vsnl.com
Thanikachalam
Sadagopan
S
Murthy
Jayanthi Satyanarayana
JS
Saldanha
Richard
R
Jayarajah
Mariappan
M
D000787:Angina Pectoris / Q000209:etiology; D001017:Aortic Coarctation / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D013908:Thoracotomy / Q000379:methods; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000601:surgery