title: [Extended total arch replacement with coronary artery bypass grafting( CABG) via left thoracotomy;report of a case].
abstract: The operative procedure of extensive aortic aneurysm with ischemic coronary artery disease is controversial. We report a case of arch and descending thoracic aortic aneurysm replacement with coronary artery bypass grafting(CABG)via left thoracotomy. A 70-year-old man followed up by hepatic disease was diagnosed with expanding aortic thoracic aneurysm at the other hospital. He had admission to our hospital for surgical intervention. Computed tomography(CT)revealed arch and descending thoracic aortic aneurysm, and coronary arteriography (CAG) revealed #7 90% and #13 75% stenosis. We performed arch and descending thoracic aortic aneurysm replacement with CABG via left thoracotomy. Replaced synthetic graft and bypass grafts were patent on the postoperative CT. He was discharged at 15th postoperative day with no morbidity.
authors: Department of Cardiovascular Surgery, Akashi Medical Center, Akashi, Japan.
authors: Hironobu
authors: H
authors: Sugiyama
authors: Satoshi
authors: S
authors: Tobe
authors: Hiroki
authors: H
authors: Nousho
authors: Tatsuro
authors: T
authors: Matsuo
authors: Taro
authors: T
authors: Hayashi
authors: Masahiro
authors: M
authors: Yamaguchi
authors: Takuya
authors: T
authors: Misato
authors: Takanori
authors: T
authors: Oka
authors: Nobuhiro
authors: N
authors: Tanimura
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D001026:Coronary Artery Bypass / Q000379:methods*; D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D013908:Thoracotomy / Q000379:methods*