title: [Coronary artery bypass grafting and replacement of aortic root and ascending aorta; report of a case].
abstract: An 87-year-old man was referred to our hospital for chest oppression and syncope attack due to aortic stenosis. Further examination revealed severe aortic stenosis (pressure gradient of 107 mmHg, aortic valve area of 0.75 cm2), ascending aortic aneurysm (60 mm in diameter) and triple-vessel disease of coronary arteries. Therefore, a surgical operation was indicated electively. Under cardiopulmonary bypass with normothermia, coronary artery bypass grafting (CABG) was performed. Then the aortic root and the ascending aorta were replaced with a Freestyle valve (27 mm) and a woven Dacron graft (30 mm Hemashield with 1 branch), respectively. Duration of cardiopulmonary bypass and aortic cross-clamp was 267 and 203 minutes, respectively. Postoperative course was uneventful. On the 14th postoperative day, he underwent coronary and graft angiography, which showed all the grafts were patent with good flow. He was successfully discharged on the 19th postoperative day.
authors.affiliation: Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Matsudo, Japan.
authors.forename: Koki
authors.initials: K
authors.lastname: Nakamura
authors.forename: Mikiko
authors.initials: M
authors.lastname: Murakami
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Asai
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Saito
authors.forename: Hiromi
authors.initials: H
authors.lastname: Yamaguchi
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male