title: Total aortic arch replacement with patent left internal thoracic artery graft after previous coronary artery bypass graft surgery.
abstract: A 78-year-old man, who had previously undergone coronary artery bypass graft surgery, was admitted to our department for treatment of a distal aortic arch aneurysm. A total aortic arch replacement with a patent left internal thoracic artery (LITA) graft was successfully performed without cardiac ischemic or neurological complications. Use of retrograde cardioplegia with intermittent pressure-augmented retrograde cerebral perfusion without clamping and dissecting the LITA graft were effective in myocardial and cerebral protection.
authors: Department of Cardiovascular Surgery, School of Medicine, Kyorin University, 6-20-2 Shinkawa, 181-8611, Mitaka, Tokyo, Japan. junichi.shimamura@gmail.com
authors: Junichi
authors: J
authors: Shimamura
authors: Hidehito
authors: H
authors: Endo
authors: Hiroshi
authors: H
authors: Tsuchiya
authors: Yusuke
authors: Y
authors: Inaba
authors: Yu
authors: Y
authors: Takahashi
authors: Hiroshi
authors: H
authors: Kubota
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D006324:Heart Arrest, Induced / Q000379:methods*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D014057:Tomography, X-Ray Computed