Total arch replacement through re-median sternotomy after coronary surgery.
We report the case of 78-year-old-man who required graft replacement of an aortic arch aneurysm. He previously had undergone off-pump coronary artery bypass grafting with the right internal thoracic artery bypassed to the left anterior descending artery. For this difficult case, we successfully performed total arch replacement using selective antegrade cerebral perfusion through a re-median sternotomy without injuring the right internal thoracic artery, which was the only blood source for the left and right coronary arteries.
Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
Hitoshi
H
Inafuku
Hitoshi
H
Ogino
Hiroaki
H
Sasaki
Kenji
K
Minatoya
Toshikatsu
T
Yagihara
Soichiro
S
Kitamura
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000637:transplantation*; D013249:Sternum / Q000601:surgery*; D014057:Tomography, X-Ray Computed