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Reoperative coronary artery bypass grafting without cardiopulmonary bypass

  • Kenji Takahashi
  • Shoichi Takahashi
  • Satoshi Odagiri
  • Koji Nagao
  • Yuta Ogura
  • Hiroyuki Itaya
  • Sohei Suzuki
Original Article
  • 36 Downloads

Abstract

Between October 1995 and Feburary 1997, 2 men and 4 women aged 53 to 75 years (mean, 66.3) underwent reoperative coronary artery bypass grafting without cardiopulmonary bypass. Isolated reoperative circumflex or intermediate artery bypass was performed through a left thoracotomy (n=2), reoperative bypass to the left anterior descending coronary aretery was performed through a median sternotomy (n=3), and bypass to the right coronary artery was performed through an upper median laparotomy (n=1). Single coronary bypass grafting utilizing arterial grafts (left internal thoracic artery: 3, right gastroepiploic artery: 3) was performed in all cases. There were no operative deaths. All cases required neither cathecolamine nor intraaortic balloon pumping). Peri/post operative blood transfusion was necessary in only one case. Postoperative coronary angiography revealed that the 6 arterial grafts were patent. Reoperative coronary artery bypass grafting without cardiopulmonary bypass can be performed with low perioperative morbidity and mortality, easy postoperative management, satisfactory graft patency, and good symptomatic improvement.

Keywords

Cardiopulmonary Bypass Internal Thoracic Artery Arterial Graft Gastroepiploic Artery Cholecystolithiasis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© The Japanese Society of Thoracic and Cadiovascular Surgery 1998

Authors and Affiliations

  • Kenji Takahashi
    • 1
  • Shoichi Takahashi
    • 1
  • Satoshi Odagiri
    • 1
  • Koji Nagao
    • 1
  • Yuta Ogura
    • 1
    • 2
  • Hiroyuki Itaya
    • 1
    • 3
  • Sohei Suzuki
    • 1
    • 3
  1. 1.Department of Cardiovascular SurgeryAomori Rousai HospitalHachinoheJapan
  2. 2.Department of General SurgeryAomori Rousai HospitalHachinoheJapan
  3. 3.The First Department of SurgeryHirosaki UniversityHirosakiJapan

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