Intraoperative Angiography after Coronary Bypass Grafting in a Patient Presenting with a Single Coronary Artery: A Case Report

2010 ◽  
Vol 13 (3) ◽  
pp. E200-E201
Author(s):  
Amir K. Bigdeli ◽  
Eckehard Kilian ◽  
Andres Beiras-Fernandez ◽  
Ferdinand Vogt ◽  
Bruno Reichart ◽  
...  
Author(s):  
Christine Hughes ◽  
Bruno Farah ◽  
Jean Fajadet

Significant unprotected left main coronary artery (ULMCA) disease occurs in 5–7% of patients undergoing coronary angiography (and patients with ULMCA disease treated medically have a 3-year mortality rate of 50%. Several studies have shown a significant benefit following treatment of left main (LM) stenosis with coronary bypass grafting compared with medical treatment. Until recently coronary bypass grafting has been the gold standard therapy for LM disease. However, advances in percutaneous intervention techniques and stent technology have allowed re-evaluation of the role of percutaneous coronary intervention (PCI) for LM disease. Recent studies have focused on the safety and efficacy of stenting the left main coronary artery (LMCA) to determine if it does provide a true alternative to coronary artery bypass grafting (CABG). So should we stent the LM?


CHEST Journal ◽  
1998 ◽  
Vol 113 (3) ◽  
pp. 676-680 ◽  
Author(s):  
Douglas R. Baldwin ◽  
Mark S. Slaughter ◽  
Soon Park ◽  
Edward McFalls ◽  
Herbert B. Ward

1987 ◽  
Vol 9 (5) ◽  
pp. 977-988 ◽  
Author(s):  
Gerald M. FitzGibbon ◽  
Mark G. Hamilton ◽  
Alan J. Leach ◽  
Henryk P. Kafka ◽  
Herbert V. Markle ◽  
...  

1998 ◽  
Vol 81 (3) ◽  
pp. 343-346 ◽  
Author(s):  
Albert Yuh-Jer Shen ◽  
Ravi Jandhyala ◽  
Christopher Ruel ◽  
Robert J Lundstrom ◽  
Michael B Jorgensen

2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Shin Yajima ◽  
Koichi Toda ◽  
Hiroyuki Nishi ◽  
Daisuke Yoshioka ◽  
Teruya Nakamura ◽  
...  

2020 ◽  
Vol 11 (3) ◽  
pp. 187-192
Author(s):  
Tamás Ruttkay ◽  
László Bárány ◽  
András Grimm ◽  
Lajos Patonay ◽  
Örs Petneházy ◽  
...  

Introduction Many coronary anastomotic devices have been designed to replace manual stitching in coronary surgery; however, interestingly, none of them became widespread. Our aim was to work out an easy and fast endoluminal vessel-to-vessel stent bridge distal anastomotic technique. Materials and methods Ten coronary arteries of eight fresh human hearts were used in this study. The anastomosis was performed with the implantation of a graft vessel into the lumen of the coronary artery by performing stent fixation. The technique is described and photo documented in detail. The durability and the conductibility of the anastomosis were examined with intraluminal endoscopy, functional streaming test, and a coloring of the vessels. Results The anastomosis had great results in all cases. Obstruction, dissection, or dislocation of the vessels was not observable. Conclusions This study confirmed the ex-vivo feasibility of the described technique. This method can be an easy, fast, and reliable method applied in the endoscopic distal coronary artery anastomosis surgery. The development of stents adapted to this method and the in-vivo testing of this technique are necessary for the future.


Author(s):  
Milica Karadzic Kocica ◽  
Hristina Ugrinovic ◽  
Dejan Lazovic ◽  
Nemanja Karamarkovic ◽  
Milos Grujic ◽  
...  

A single coronary artery is a very rare condition, commonly associated with other congenital anomalies. It could be generally classified as neither benign nor malignant form of congenital coronary artery anomalies since its pathophysiological and clinical implications grossly depend on different anatomical patterns defined by the site of origin and distribution of the branches. By presenting the patient with an isolated single coronary artery, who underwent successful combined aortic valve replacement and coronary artery bypass grafting surgery, we intend to distinguish casual from causal in this extremely rare clinical and surgical scenario. This is the first-ever case published, combining such underlying pathology, clinical presentation, and surgical treatment.


Sign in / Sign up

Export Citation Format

Share Document