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Off‐ P ump Axillo‐ C oronary Artery Bypass: A Simple Approach for High‐ R isk Myocardial Revascularization
Author(s) -
Grandmougin Daniel,
Maureira JuanPablo,
Fiore Antonio,
Vanhuyse Fabrice,
Elfarra Mazen,
Roudmane Nezha,
Portocarrero Eric,
Delolme MariaChristina,
Folliguet Thierry,
Villemot JeanPierre
Publication year - 2013
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12113
Subject(s) - medicine , mediastinitis , cardiology , angina , artery , circumflex , revascularization , ascending aorta , aorta , surgery , myocardial infarction
We report the case of a 66‐year‐old male with increasing angina occurring after two previous coronary artery surgery procedures. The second operation had been complicated by severe mediastinitis necessitating surgical drainage, and sternal stabilization. Angiography revealed an occlusion of the LAD bypass with a patent LAD associated with a stenotic circumflex coronary artery. The ascending aorta was severely calcified. An off‐pump axillo‐LAD coronary artery bypass was safely performed in conjunction with stenting of the circumflex artery. This approach dramatically simplified the procedure and reduced the operative risk. At the 52‐month follow‐up, the patient is free of any angina symptoms. doi: 10.1111/jocs.12113 (J Card Surg 2013;28:388–390)