Combined repair of aortic arch aneurysm and coronary artery bypass grafting via a modified clamshell incision.
نویسنده
چکیده
A 58 year-old man presented with a large aneurysm of the aortic arch and severe coronary artery disease. He underwent combined repair of the aortic arch aneurysm and coronary artery bypass grafting via a modified clamshell incision using deep hypothermic circulatory arrest and retrograde cerebral perfusion. He made an uncomplicated postoperative recovery. The operative techniques are discussed with a review of the relevant literature.
منابع مشابه
Combined transdiaphragmatic off-pump and minimally invasive coronary artery bypass with right gastroepiploic artery and abdominal aortic aneurysm repair
PATIENT Male, 74 FINAL DIAGNOSIS: Abdominal aortic aneurysm (AAA) Symptoms: Palpable abdominal mass Medication: - Clinical Procedure: Abdominal aortic aneurysm repair Specialty: Surgery. OBJECTIVE Rare disease. BACKGROUND Coronary artery disease is common in elderly patients with abdominal aortic aneurysms. Here we report a case of the combination of surgical repair for abdominal aortic ane...
متن کاملTwo cases of off-pump coronary artery bypass grafting combined with abdominal aortic aneurysm repair.
Two cases of coronary artery disease coexisting with abdominal aortic aneurysm were treated with off-pump coronary artery bypass grafting combined with repair of the aneurysm. The first patient was a 67-year-old man exhibiting a large pulsating abdominal mass. Abdominal computed tomography demonstrated a 9-cm aneurysm and coronary angiogram revealed a 90% stenosis of the obtuse marginal branch ...
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An L-shaped incision combining an upper half mid-sternotomy and a left antero-lateral thoracotomy at the fourth intercostal space has been proposed by several authors for extensive aneurysms involving the aortic arch and the proximal thoracic descending aorta. This approach usually requires the division of the left internal thoracic artery at its mid position, thus making it unusable for corona...
متن کاملAortic arch repair with coronary artery revascularization.
OBJECTIVE Simultaneous aortic arch repair and coronary artery bypass are associated with considerable morbidity and mortality. We retrospectively analyzed our experience with on- and off-pump coronary artery bypass (CAB) combined with aortic arch repair. METHODS Before aortic arch repair, distal coronary artery anastomosis was constructed on the arrested heart under CAB (ONCAB: n=14), or on t...
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Two patients suffered from acute myocardial infarction (AMI) resulting from occlusion of left coronary perfusion graft limb after aortic root reconstruction by Cabrol or modified Cabrol technique. A 34-year-old male patient with Marfan syndrome received aortic root reconstruction by modified Cabrol technique due to aortic root aneurysm and acute type A aortic dissection. AMI occurred 3 months a...
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ورودعنوان ژورنال:
- The Medical journal of Malaysia
دوره 62 2 شماره
صفحات -
تاریخ انتشار 2007