title: Aortic balloon used in a cardiac reoperation of a patient with patent coronary grafts.
abstract: Reoperation in patients with patent coronary artery bypass grafts behind the sternum is associated with a high risk of graft injury that may be life-threatening. We recently performed mitral valve replacement in a patient with patent coronary artery bypass grafts and grade IV mitral regurgitation. Surgery was safely performed with minimal adhesion dissection and modified Port-Access Technique using an aortic balloon.
authors.affiliation: Department of Cardiovascular Surgery, Nihon University Nerima Hikarigaoka Hospital, 2-11-1 Hikarigaoka, Nerima-ku, Tokyo, Japan. kakiyama@med.nihon-u.ac.jp
authors.forename: Kenji
authors.initials: K
authors.lastname: Akiyama
authors.forename: Kin-ich
authors.initials: KI
authors.lastname: Nakata
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kashiwazaki
authors.forename: Seiji
authors.initials: S
authors.lastname: Fukushima
mesh_terms: D000368:Aged; D002404:Catheterization / Q000295:instrumentation*; D001026:Coronary Artery Bypass; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D012720:Severity of Illness Index; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency