title: [Coronary Artery Revascularization with V-composite Saphenous Veins Graft in a Bad Ascending Aorta;Report of a Case].
abstract: A 77-year-old male with many comorbidities underwent off pump coronary artery bypass grafting. A severely atherosclerotic ascending aorta was revealed by preoperative computed tomography(CT) and epiaortic echography during operation. Therefore, V-composite saphenous vein grafting was adopted for non left anterior descending artery (LAD) coronary lesions in addition to left internal thoracic artery-left anterior descending artery bypass grafting. He was discharged with no complications and all grafts were confirmed to be patent by postoperative CT. V-composite saphenous vein grafting for avoiding cerebrovascular complications might be one of the useful options in coronary artery revascularization for non-LAD lesions in elderly patients or those with many comorbidities, especially with a severely atherosclerotic ascending aorta.
authors.affiliation: Department of Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Shirakawa
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Ishii
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Kawase
authors.forename: Shunichiro
authors.initials: S
authors.lastname: Sakamoto
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Miyagi
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Morota
authors.forename: Takashi
authors.initials: T
authors.lastname: Nitta
mesh_terms: D000368:Aged; D001011:Aorta / Q000000981:diagnostic imaging / Q000601:surgery*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009204:Myocardial Revascularization / Q000379:methods*; D012501:Saphenous Vein / Q000601:surgery*; D014057:Tomography, X-Ray Computed