title: [Reoperative off-pump coronary artery bypass via left thoracotomy with porcelain aorta; left axillary artery to circumflex artery bypass; report of a case].
abstract: A 62-year-old man who underwent coronary artery bypass grafting (CABG) [left internal thoracic artery (LITA)-left anterior descending (LAD), saphenous vein graft (SVG) right coronary artery (RCA)] 13 years previously developed angina pectoris and congestive heart failure because of occlusion of SVG and native vessels. Coronary angiography (CAG) revealed that inflow to the coronary artery remained only from LITA. Repeat off-pump CABG (OPCAB) with SVG to the circumflex artery via left thoracotomy was performed. The proximal end of SVG was anastomosed to the left axillary artery because of the porcelain aorta and the patent LITA graft. The patient developed no complications and was discharged from hospital on postoperative day 21. OPCAB for circumflex artery by left thoracotomy is an effective and safe approach in redo CABG, particularly in instances of patent LITA.
authors.affiliation: Department of Thoracic Surgery, Ome Municipal General Hospital, Ome, Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Miyagi
authors.forename: N
authors.initials: N
authors.lastname: Oshima
authors.forename: T
authors.initials: T
authors.lastname: Shirai
authors.forename: M
authors.initials: M
authors.lastname: Sunamori
mesh_terms: D001011:Aorta / Q000601:surgery; D001366:Axillary Artery / Q000601:surgery; D006348:Cardiac Surgical Procedures; D047549:Coronary Artery Bypass, Off-Pump; D003327:Coronary Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation; D008875:Middle Aged; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D013908:Thoracotomy