title: Off-pump axillo-coronary artery bypass: a simple approach for high-risk myocardial revascularization.
abstract: We report the case of a 66-year-old male with increasing angina occurring after two previous coronary artery surgery procedures. The second operation had been complicated by severe mediastinitis necessitating surgical drainage, and sternal stabilization. Angiography revealed an occlusion of the LAD bypass with a patent LAD associated with a stenotic circumflex coronary artery. The ascending aorta was severely calcified. An off-pump axillo-LAD coronary artery bypass was safely performed in conjunction with stenting of the circumflex artery. This approach dramatically simplified the procedure and reduced the operative risk. At the 52-month follow-up, the patient is free of any angina symptoms.
authors.affiliation: Department of Cardiovascular Surgery and Heart Transplantation, ILCV Louis-Mathieu, CHU-Nancy, Vandoeuvre-lès-Nancy, France. d.grandmougin@chu-nancy.fr
authors.forename: Daniel
authors.initials: D
authors.lastname: Grandmougin
authors.forename: Juan-Pablo
authors.initials: JP
authors.lastname: Maureira
authors.forename: Antonio
authors.initials: A
authors.lastname: Fiore
authors.forename: Fabrice
authors.initials: F
authors.lastname: Vanhuyse
authors.forename: Mazen
authors.initials: M
authors.lastname: Elfarra
authors.forename: Nezha
authors.initials: N
authors.lastname: Roudmane
authors.forename: Eric
authors.initials: E
authors.lastname: Portocarrero
authors.forename: Maria-Christina
authors.initials: MC
authors.lastname: Delolme
authors.forename: Thierry
authors.initials: T
authors.lastname: Folliguet
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Villemot
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000601:surgery*; D001366:Axillary Artery / Q000601:surgery; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000628:therapy; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000628:therapy; D009204:Myocardial Revascularization; D011183:Postoperative Complications / Q000628:therapy*; D012008:Recurrence; D012086:Reoperation; D012306:Risk; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome