[Off-pump coronary artery bypass grafting in an early-teen patient with aortitis syndrome].
A 14-year-old girl was admitted to our hospital with a history of syncope and chest pain on exercise. Multi-slice coronary computed tomography (CT) demonstrated ostial stenosis of the left main trunk as well as wall thickening in the ascending aorta. Magnetic resonance imaging (MRI) also showed occlusion of the left carotid artery. She was diagnosed as having angina pectoris caused by aortitis syndrome. We performed off-pump coronary artery bypass grafting (OPCAB) with the left internal thoracic artery to the left anterior descending artery. The postoperative course was uneventful and coronary CT demonstrated good graft patency. We herein report successful OPCAB in a patient with left coronary main trunk ostial stenosis with aortitis syndrome.
Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, Morioka, Japan.
Kazuya
K
Kumagai
Hajime
H
Kin
Masayuki
M
Mukaida
Kotaro
K
Oyama
Shin
S
Takahashi
Yoko
Y
Sato
Hitoshi
H
Okabayashi
D000293:Adolescent; D000787:Angina Pectoris / Q000209:etiology; D047549:Coronary Artery Bypass, Off-Pump; D023921:Coronary Stenosis / Q000601:surgery*; D005260:Female; D006801:Humans; D013625:Takayasu Arteritis / Q000150:complications*