[Off-pump Coronary Artery Bypass Surgery Following Aortic Root Replacement for Acute Type A Dissection ; Report of a Case].
A 45-year-old male presented to our hospital with worsening heart failure. Computed tomography coronary angiography revealed total occulusion of the proximal left anterior descending artery (LAD). The patient had a history of acute type A dissection,and had undergone aortic root replacement. Avoiding prosthetic graft injury and bleeding,coronary revasculizaion was accomplished by left anterior thoracotomy using the left internal thoracic artery without cardiopulmonary bypass. The postoperative course was uneventful.
Department of Cardiovascular Surgery, Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan.
Hiroyuki
H
Saito
Hideyuki
H
Tomioka
Yuta
Y
Kume
D000784:Aortic Dissection / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery*; D011183:Postoperative Complications