title: Anaortic off-pump bilateral internal mammary grafting in severe left ventricular dysfunction - Case report.
abstract: A 64 years old male diabetic patient with ejection fraction of 16% and renal dysfunction underwent off-pump CABG using both in situ internal mammary artery grafts. Left internal mammary artery was used to bypass left anterior descending artery and right internal mammary artery was used as composite graft. Patient had uneventful recovery and left ventricular ejection fraction improved to 34% within 8 months after surgery. In presence of left ventricular dysfunction, both internal thoracic artery grafting should be preferred for better patency rate and flow reserve. This is the first ever case report of anaortic off-pump bilateral internal thoracic artery grafting in a patient with left ventricular ejection fraction less than 20%.
authors.affiliation: Cumballa Hill Hospital and Heart Institute, 93/95 August Kranti Marg, Mumbai 400036, Maharastra, India. Electronic address: kamalessk@gmail.com.
authors.forename: Kamales Kumar
authors.initials: KK
authors.lastname: Saha
authors.affiliation: Cumballa Hill Hospital and Heart Institute, 93/95 August Kranti Marg, Mumbai 400036, Maharastra, India.
authors.forename: Saurab
authors.initials: S
authors.lastname: Goel
authors.affiliation: Cumballa Hill Hospital and Heart Institute, 93/95 August Kranti Marg, Mumbai 400036, Maharastra, India.
authors.forename: Ajay
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Cumballa Hill Hospital and Heart Institute, 93/95 August Kranti Marg, Mumbai 400036, Maharastra, India.
authors.forename: Kakalee K
authors.initials: KK
authors.lastname: Saha
mesh_terms: D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D004452:Echocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D008875:Middle Aged; D012720:Severity of Illness Index; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016277:Ventricular Function, Left / Q000502:physiology*
keywords: CABG arterial graft; CABG new technology; Coronary artery bypass graft CABG; Coronary endarterectomy; Off-pump surgery