Surgery for distal aortic arch aneurysm with a patent left internal mammary-to-coronary artery graft; report of a case

M. Nakajima, K. Tsuchiya, Y. Naito, Narutoshi Hibino, H. Matsumoto, H. Inoue

Research output: Contribution to journalArticle

Abstract

We report a case of 62-year-old male who suffered from a distal aortic arch aneurysm developed 5 years after coronary artery bypass grafting (CABG). Preoperative angiography revealed a distal arch aneurysm and a patent left internal mammary artery (LIMA) graft. Graft replacement of the total aortic arch was performed using a 4 branched graft. After the re-median sternotomy, cardiopulmonary bypass was established with ascending aortic perfusion and right atrium (RA) drainage. Myocardial protection was achieved with root cold blood cardioplegia and LIMA continuous cold blood perfusion. Distal anastomosis was performed under selective cerebral perfusion and during deep hypothermic circulatory arrest. Postoperative course was satisfactory and the patient was discharged without complications.

Original languageEnglish (US)
Pages (from-to)332-335
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume56
Issue number4
StatePublished - 2003
Externally publishedYes

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Aortic Aneurysm
Thoracic Aorta
Coronary Vessels
Breast
Mammary Arteries
Perfusion
Transplants
Deep Hypothermia Induced Circulatory Arrest
Induced Heart Arrest
Sternotomy
Heart Atria
Cardiopulmonary Bypass
Coronary Artery Bypass
Aneurysm
Drainage
Angiography

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Surgery for distal aortic arch aneurysm with a patent left internal mammary-to-coronary artery graft; report of a case. / Nakajima, M.; Tsuchiya, K.; Naito, Y.; Hibino, Narutoshi; Matsumoto, H.; Inoue, H.

In: Kyobu geka. The Japanese journal of thoracic surgery, Vol. 56, No. 4, 2003, p. 332-335.

Research output: Contribution to journalArticle

Nakajima, M. ; Tsuchiya, K. ; Naito, Y. ; Hibino, Narutoshi ; Matsumoto, H. ; Inoue, H. / Surgery for distal aortic arch aneurysm with a patent left internal mammary-to-coronary artery graft; report of a case. In: Kyobu geka. The Japanese journal of thoracic surgery. 2003 ; Vol. 56, No. 4. pp. 332-335.
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