title: Total arterial anaortic off-pump coronary artery bypass grafting for diffuse coronary disease - A case report.
abstract: Surgical treatment of diffuse coronary artery disease remains challenging. We present here a diabetic patient, with diffuse coronary disease, revascularized using total arterial anaortic off-pump coronary artery bypass grafting. He received total nine distal grafts. He continues to be asymptomatic after more than 2 years. CT angiography follow-up shows eight out of nine grafts are patent. Anaortic off-pump coronary artery bypass grafting has the least incidence of stroke and arterial grafts have the best long-term patency rate. This is the first case report of nine arterial bypass graft performed off-pump using both internal mammary and both radial arteries. Anaortic total arterial off-pump coronary artery bypass grafting has achieved excellent intermediate term result in this patient of diffuse coronary artery disease.
authors.affiliation: Fortis S L Raheja Hospital, Raheja Rugnalaya Marg, Mahim West Mumbai, Maharashtra, India. Electronic address: kamalessk@gmail.com.
authors.forename: Kamales Kumar
authors.initials: KK
authors.lastname: Saha
authors.affiliation: Fortis S L Raheja Hospital, Raheja Rugnalaya Marg, Mahim West Mumbai, Maharashtra, India.
authors.forename: Mandar M
authors.initials: MM
authors.lastname: Deval
authors.affiliation: Fortis S L Raheja Hospital, Raheja Rugnalaya Marg, Mahim West Mumbai, Maharashtra, India.
authors.forename: Shekhar
authors.initials: S
authors.lastname: Ambardekar
authors.affiliation: Fortis S L Raheja Hospital, Raheja Rugnalaya Marg, Mahim West Mumbai, Maharashtra, India.
authors.forename: Ajay
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Fortis S L Raheja Hospital, Raheja Rugnalaya Marg, Mahim West Mumbai, Maharashtra, India.
authors.forename: Kakalee K
authors.initials: KK
authors.lastname: Saha
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D008875:Middle Aged; D017534:Radial Artery / Q000637:transplantation*; D013997:Time Factors; D014057:Tomography, X-Ray Computed
keywords: Anaortic CABG; Arterial graft; Diffuse coronary artery disease; Off-pump coronary artery bypass grafting