Concomitant aorto-axillary bypass and beating heart total arterial coronary artery bypass grafting by RIMA-LIMA “Y” graft
In common practice, left internal mammary artery (LIMA) along with great saphanous vein is used in coronary artery bypass grafting (CABG). Day by day total arterial CABG specially use of bilateral mammary arteries are becoming demanding. Coexisting occlusive disease may rarely affect coronary arte...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Bangladesh Journals OnLine (BanglaJOL)
2013
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/37839/ http://irep.iium.edu.my/37839/ http://irep.iium.edu.my/37839/1/Concomitant_Aorto-axillary_Bypass_and_Beating_Heart_Total_Arterial_Coronary_Artery_Bypass_Grafting_by_RIMA-LIMA_%E2%80%9CY%E2%80%9D_graft.pdf |
| Summary: | In common practice, left internal mammary artery (LIMA) along with great saphanous vein is used in
coronary artery bypass grafting (CABG). Day by day total arterial CABG specially use of bilateral mammary
arteries are becoming demanding. Coexisting occlusive disease may rarely affect coronary arteries along
with left subclavian artery. We have reported a successful concomitant aorto-axillary bypass and CABG of
a 52-year-aged man with the diagnosis of triple-vessel-disease (TVD) angiographically along with proximal
stenosis in left subclavian artery. Aorto-axillary (left) bypass was done with 6-mm ring re-inforced
polytetrafluoroethane (PTFE) graft and CABG was done by total arterial RIMA-LIMA “Y” graft on beating
heart. The post-operative course was uneventful with reappearance of peripheral pulses in left upper
extremity. The patient was discharged on the 9th post-operative day. |
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