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Surgical angioplasty of ruptured left anterior descending coronary artery without cardiopulmonary bypass

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Abstract

We report a case of successful off-pump surgical angioplasty in the left anterior descending coronary artery using a saphenous vein patch. A 49-year-old male with left main disease and severe cerebrovascular stenosis underwent off-pump bypass to the left anterior descending artery. Postoperative angiography showed anastomotic stenosis where balloon angioplasty was performed. However, it resulted in coronary perforation complicated with epicardial tamponade, and emergency off-pump surgical angioplasty was performed. This case demonstrated that coronary arterial rupture could be managed by surgical angioplasty without cardiopulmonary bypass when coronary artery perforation occurred.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan

    Shin’ichiro Kihara, Tadayuki Shimakura, Satoshi A. Tanaka, Norihiko Saito & Yuji Sugawara

Authors
  1. Shin’ichiro Kihara
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  2. Tadayuki Shimakura
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  3. Satoshi A. Tanaka
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  4. Norihiko Saito
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  5. Yuji Sugawara
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Kihara, S., Shimakura, T., Tanaka, S.A. et al. Surgical angioplasty of ruptured left anterior descending coronary artery without cardiopulmonary bypass. Jpn J Thorac Caridovasc Surg 48, 326–328 (2000). https://doi.org/10.1007/BF03218150

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  • DOI: https://doi.org/10.1007/BF03218150

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