Upgrading redo coronary artery bypass graft by recycling in situ arterial graft

Masahiro Dohi; Kiyoshi Doi; Kazunari Okawa; Hitoshi Yaku

doi:10.1016/j.athoracsur.2013.09.066

Upgrading redo coronary artery bypass graft by recycling in situ arterial graft

Ann Thorac Surg. 2014 Jul;98(1):311-4. doi: 10.1016/j.athoracsur.2013.09.066.

Authors

Masahiro Dohi¹, Kiyoshi Doi², Kazunari Okawa², Hitoshi Yaku²

Affiliations

¹ Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. Electronic address: masad@koto.kpu-m.ac.jp.
² Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.

PMID: 24996709
DOI: 10.1016/j.athoracsur.2013.09.066

Abstract

We present a case of redo coronary artery bypass grafting (CABG) in which a single internal thoracic artery (ITA) graft was upgraded to a bilateral ITA graft by recycling a left ITA graft, anastomosed to the left anterior descending artery in primary CABG performed 17 years previously. During redo CABG, we dissected the left ITA, reused it in situ for the circumflex artery, and used the right ITA to the left anterior descending artery for a bilateral ITA graft. All grafts remained patent 2 years after redo CABG. Recycling ITA grafts may enable upgrading to bilateral ITA grafting during redo CABG.

Publication types

Case Reports

MeSH terms

Aged
Coronary Angiography
Coronary Stenosis / diagnostic imaging
Coronary Stenosis / surgery*
Coronary Vessels / physiopathology
Coronary Vessels / surgery*
Follow-Up Studies
Humans
Internal Mammary-Coronary Artery Anastomosis / methods*
Male
Mammary Arteries / physiopathology
Mammary Arteries / transplantation*
Recycling / methods*
Saphenous Vein / physiopathology
Saphenous Vein / transplantation*
Vascular Patency