title: [Mobilization of the Liver for Farther Incision of the Diaphragm in Transdiaphragmatic Re-do Coronary Artery Bypass Grafting].
abstract: Re-do coronary artery bypass grafting to the right coronary artery via the diaphragm is useful, especially when re-sternotomy may injure a patent internal thoracic artery graft under the sternum. When the target vessel is located on the posterior wall of the heart, however, anastomosis becomes difficult. In our case, we mobilized the liver from the diaphragm and divided the diaphragm more posteriorly. The gastroepiploic artery was successfully anastomosed to the target vessel.
authors.affiliation: Department of Cardiovascular Surgery, Nagoya Medical Center, Nagoya, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Hagiwara
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nakayama
authors.forename: Shin
authors.initials: S
authors.lastname: Takeda
authors.forename: Tomoki
authors.initials: T
authors.lastname: Kitano
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D003964:Diaphragm / Q000601:surgery*; D024405:Gastroepiploic Artery / Q000601:surgery; D006801:Humans; D008099:Liver; D008297:Male; D012086:Reoperation