Coronary bypass after ascending aorta to femoral graft placement running head: CABG after ascending aorta-bifemoral graft

A 73-year-old woman had undergone ascending aorta-bifemoral bypass 9 years previously and now required coronary artery bypass for unstable angina. The technical considerations for the operation had never been described. We successfully completed the operation by mobilization of the pre-existent graf...

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Bibliographic Details
Published inJournal of cardiovascular surgery Vol. 37; no. 2; p. 161
Main Authors Cusimano, R J, Baird, R J
Format Journal Article
LanguageEnglish
Published Italy 01.04.1996
Subjects
Aged
Angina, Unstable - surgery
Aorta - surgery
Blood Vessel Prosthesis
Coronary Artery Bypass - methods
Female
Femoral Artery - surgery
Humans
Intermittent Claudication - surgery
Polytetrafluoroethylene
Saphenous Vein - transplantation
Thoracic Arteries - surgery
Time Factors
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Summary:A 73-year-old woman had undergone ascending aorta-bifemoral bypass 9 years previously and now required coronary artery bypass for unstable angina. The technical considerations for the operation had never been described. We successfully completed the operation by mobilization of the pre-existent graft as it exited the thorax and by intermittent aortic root perfusion of the graft. Postoperatively she had no lower extremity complications, despite what was likely a graft dependent circulation. The same technique for coronary bypass can likely be used for all extra-anatomic bypass grafts originating from the ascending aorta. An alternate theoretical method is also discussed.
ISSN:0021-9509