Key result
Off-pump beating-heart coronary artery bypass via left thoracotomy using left internal mammary artery free conduits successfully restored coronary flow and relieved symptoms in a 71-year-old male.
Case Report (n=1)
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Off-pump beating-heart CABG via left thoracotomy using free LIMA conduits is a feasible approach for patients with previous retrosternal gastric bypass and a severely calcified aorta.
A 71-year-old male with a history of retrosternal gastric bypass, after a resected esophageal carcinoma, developed angina pectoris due to stenosis of the left main trunk and the left anterior descending artery. The patient was treated with off-pump beating-heart coronary artery bypass approached via left thoracotomy. Two free conduits arising from the left internal mammary artery were utilized for this particular case, since the aortocoronary bypass was impossible due to the severely calcified aorta. Postoperative angiography confirmed good coronary flow and the patient has been symptom free for 6 months.
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Hirose et al. (1999) conducted a case report in Angina pectoris with stenosis of the left main trunk and left anterior descending artery (n=1). Off-pump beating-heart coronary artery bypass via left thoracotomy was evaluated on Postoperative coronary flow and symptom status. Off-pump beating-heart coronary artery bypass via left thoracotomy using left internal mammary artery free conduits successfully restored coronary flow and relieved symptoms in a 71-year-old male.
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