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[Re-coronary artery bypass grafting using a MIDCAB technique in a patient with a patent RITA-LAD graft].
Kyobu Geka. 1999 Nov; 52(12):1025-8.KG

Abstract

In a patient with a patent RITA-LAD (right internal thoracic artery-left anterior descending artery) graft, re-CABG (re-coronary artery bypass grafting) with re-median sternotomy has been a high risk procedure. A 56-year-old male underwent 4-CABG (RITA-LAD, LITA-Dx, SVG-PL, and SVG-RCA) nine years ago. Coronary angiography showed that the RITA-LAD graft was well patent, but there was 95% stenosis distal to RITA-LAD anastomosis site. We performed re-CABG (right gastroepiploic artery-LAD; RGEA-LAD), using MIDCAB (minimally invasive direct coronary artery bypass) technique with neither re-median sternotomy nor cardiopulmonary bypass. The right gastroepiploic artery was harvested through a small upper median laparotomy and anastomosed to LAD through a small left anterior thoracotomy. The postoperative course was uneventful. This technique seems to be useful for re-revascularization of the LAD in a patient with a patent RITA-LAD graft.

Authors+Show Affiliations

Department of Surgery III, Nara Medical University, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

10554490

Citation

Naito, H, et al. "[Re-coronary Artery Bypass Grafting Using a MIDCAB Technique in a Patient With a Patent RITA-LAD Graft]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 52, no. 12, 1999, pp. 1025-8.
Naito H, Kawata T, Mizuguchi K, et al. [Re-coronary artery bypass grafting using a MIDCAB technique in a patient with a patent RITA-LAD graft]. Kyobu Geka. 1999;52(12):1025-8.
Naito, H., Kawata, T., Mizuguchi, K., Nishioka, H., Kameda, Y., Sakaguchi, H., Yasukawa, M., Nezu, K., & Taniguchi, S. (1999). [Re-coronary artery bypass grafting using a MIDCAB technique in a patient with a patent RITA-LAD graft]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 52(12), 1025-8.
Naito H, et al. [Re-coronary Artery Bypass Grafting Using a MIDCAB Technique in a Patient With a Patent RITA-LAD Graft]. Kyobu Geka. 1999;52(12):1025-8. PubMed PMID: 10554490.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Re-coronary artery bypass grafting using a MIDCAB technique in a patient with a patent RITA-LAD graft]. AU - Naito,H, AU - Kawata,T, AU - Mizuguchi,K, AU - Nishioka,H, AU - Kameda,Y, AU - Sakaguchi,H, AU - Yasukawa,M, AU - Nezu,K, AU - Taniguchi,S, PY - 1999/11/11/pubmed PY - 1999/11/11/medline PY - 1999/11/11/entrez SP - 1025 EP - 8 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 52 IS - 12 N2 - In a patient with a patent RITA-LAD (right internal thoracic artery-left anterior descending artery) graft, re-CABG (re-coronary artery bypass grafting) with re-median sternotomy has been a high risk procedure. A 56-year-old male underwent 4-CABG (RITA-LAD, LITA-Dx, SVG-PL, and SVG-RCA) nine years ago. Coronary angiography showed that the RITA-LAD graft was well patent, but there was 95% stenosis distal to RITA-LAD anastomosis site. We performed re-CABG (right gastroepiploic artery-LAD; RGEA-LAD), using MIDCAB (minimally invasive direct coronary artery bypass) technique with neither re-median sternotomy nor cardiopulmonary bypass. The right gastroepiploic artery was harvested through a small upper median laparotomy and anastomosed to LAD through a small left anterior thoracotomy. The postoperative course was uneventful. This technique seems to be useful for re-revascularization of the LAD in a patient with a patent RITA-LAD graft. SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/10554490/[Re_coronary_artery_bypass_grafting_using_a_MIDCAB_technique_in_a_patient_with_a_patent_RITA_LAD_graft]_ L2 - https://medlineplus.gov/coronaryarterybypasssurgery.html DB - PRIME DP - Unbound Medicine ER -