title: A potential risk of myocardial ischemia during thoracoabdominal aortic repair after coronary artery bypass grafting using the right gastroepiploic artery.
abstract: In-situ right gastroepiploic artery (RGEA) has been used as one of the reliable conduits for coronary artery bypass grafting (CABG). We report a case of thoracoabdominal aortic aneurysm (TAAA) repair in a patient who had previous CABG using the RGEA graft. There is a great potential risk for critical myocardial ischemia when performing open repair for TAAA in those patients.
authors.affiliation: Department of Cardiovascular Surgery, Tokyo Medical University Hospital, Tokyo, Japan.
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Matsuyama
authors.forename: Nobusato
authors.initials: N
authors.lastname: Koizumi
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Chiba
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Sato
authors.forename: Toru
authors.initials: T
authors.lastname: Iwahashi
authors.forename: Toshiya
authors.initials: T
authors.lastname: Nishibe
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ogino
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D057510:Endovascular Procedures / Q000009:adverse effects*; D017809:Fatal Outcome; D024405:Gastroepiploic Artery / Q000503:physiopathology / Q000637:transplantation*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology* / Q000503:physiopathology; D012039:Regional Blood Flow; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome