[Coronary artery bypass grafting in a patient with right aortic arch; report of a case].
A 60-year-old man was admitted to another hospital because of chest oppression on effort. Chest X-ray showed radiographic evidence of a right aortic arch and double vessel coronary artery disease with 50% stenosis in the left main trunk was diagnosed by coronary angiography. He was transferred to our institute for surgical treatment of angina pectoris. Preoperatively, multi-detector row computed tomography (CT) was performed and it revealed a right aortic arch and an aberrant left subclavian artery with narrow left internal thoracic artery. A right internal thoracic artery was well demonstrated. Therefore, conventional coronary artery bypass grafting using a right internal thoracic artery and a saphenous vein graft was performed and his postoperative course was uneventful.
Kumano
H
H
Department of Cardiovascular Surgery, Bell Land General Hospital, Sakai, Japan.
Fujii
H
H
Aoyama
T
T
Nishioka
T
T
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001026:Coronary Artery Bypass / Q000379:methods; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed