Reoperation in patients with patent coronary artery bypass grafts behind the sternum is associated with a high risk of graft injury that may be life-threatening. We recently performed mitral valve replacement in a patient with patent coronary artery bypass grafts and grade IV mitral regurgitation. Surgery was safely performed with minimal adhesion dissection and modified Port-Access Technique u...

BACKGROUND The advances in surgical techniques, resuscitation and anesthesiology support over the last years have allowed simultaneous thoracic and abdominal operations to be made for cancer and concomitant severe heart vessel disease relieving the patient from several diseases simultaneously and achieving long lasting remission or cure. CLINICAL CASE A simultaneous nephrectomy and coronary a...

Background: With the evolution of anesthesia and surgical procedures, fast track extubation has gained an increased interest, mainly based on the possibility of reducing health costs seemingly without compromising patient care. Aim: To compare two groups of patients submitted to a non-fast track extubation and a fast track extubation protocol after coronary artery bypass graft surgery with card...

Saphenous vein bypass pseudoaneurysm is rare but fatal complication after coronary bypass surgery. Pseudoaneurysm is managed either with a surgical or percutaneous approach. This patient underwent quadruple coronary artery bypass grafting 10 years earlier and was referred for recurrence of angina. Coronary and graft angiography revealed a pseudoaneurysm in the saphenous vein graft supplying the...

The aim of this randomised, prospective study was to evaluate hospital mortality and morbidity after myocardial revascularisation, comparing on-pump coronary artery bypass graft (CABG) myocardial revascularisation versus off-pump coronary artery bypass graft (OPCAB) myocardial revascularisation in population with multivessels coronary artery disease. Sixty patients with multivessels coronary ar...

BACKGROUND Current risk models predict in-hospital mortality after either coronary artery bypass graft surgery or percutaneous coronary interventions separately, yet the overlap suggests that the same variables can define the risks of alternative coronary reperfusion therapies. Our goal was to seek a preprocedure risk model that can predict in-hospital mortality after either percutaneous corona...

A 50-year-old man developed recurrent angina 1 year after coronary artery bypass surgery. The patient was found to have a large fistula involving branches of the internal mammary artery graft and the left pulmonary artery. In the absence of another clear cause for the patient's symptoms, we speculated that our patient's angina and abnormal stress nuclear study were due to coronary steal. In pat...

It is thirty-five years since the initial coronary artery bypass graft (CABG) was performed in Japan in 1970. There was more risk in surgery in the early days, and many efforts have been made to decrease the mortality rate. Since the 1980’s when I was training to be a heart surgeon, surgical outcomes have improved, and the number of surgical cases has been steadily increasing. Since the long-te...