I-1-8 Aortocoronary bypass surgery

Septic rupture of the ascending aorta after aortocoronary bypass surgery

We describe an exceptional case of non-fatal septic rupture of the ascending aorta in a patient with sternal dehiscence, deep sternal wound infection (DSWI) and pleural empyema after aortocoronary bypass surgery. Routine follow-up computed tomography (CT) detected a mediastinal pseudoaneurysm originating from the ascending aorta. Thereby, massive and irregular sternal bone defects and contrast-...

Aortocoronary bypass surgery in a patient with aortic calcification.

A61-year-old woman was referred for aortocoronary bypass surgery. At cardiac catheterization, calcifications of the ascending aorta were noted. To assess the exact extent of aortic calcification, we performed an ECG-gated electronbeam CT (EBCT) study of the thoracic aorta. Our image displays a 3-dimensional volume–rendering reconstruction of the EBCT data set, with thresholds set to display cal...

Reoperation for angina after previous aortocoronary bypass surgery.

A retrospective study was carried out of the outcome of 102 patients who underwent a second operation for myocardial revascularisation, necessitated by persistence or recurrence of intractable angina after their first coronary bypass procedures. Operative mortality was 2%. During follow up of the survivors (mean interval 36.4 months) five died, two after further operation, and five underwent fu...

Use of exercise tests in assessment of the functional result of aortocoronary bypass surgery.

Histological study of arterial and venous grafts before their use in aortocoronary bypass surgery.

INTRODUCTION In this study we investigated the morphology of grafts from the internal thoracic artery and the great saphenous vein, before their use in aortocoronary bypass surgery, in order to draw conclusions concerning their suitability and viability. MATERIAL AND METHODS Sections of grafts from the great saphenous vein and left internal thoracic artery obtained for use in bypass surgery w...