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Axillary artery to left anterior descending coronary artery bypass with an externally stented graft: a technical report

With the proliferation of minimally invasive cardiac surgery a number of alternative inflow sites for coronary artery bypass grafting have been utilized, especially in higher risk patients. The use of axillary-coronary artery bypass is a safe and effective alternative especially in the case of patie...

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Autores principales: Athanasiou, Thanos, Kapetanakis, Emmanouil I, Rao, Christopher, Salvador, Loris, Darzi, Ara
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267781/
https://www.ncbi.nlm.nih.gov/pubmed/18269756
http://dx.doi.org/10.1186/1749-8090-3-6
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author Athanasiou, Thanos
Kapetanakis, Emmanouil I
Rao, Christopher
Salvador, Loris
Darzi, Ara
author_facet Athanasiou, Thanos
Kapetanakis, Emmanouil I
Rao, Christopher
Salvador, Loris
Darzi, Ara
author_sort Athanasiou, Thanos
collection PubMed
description With the proliferation of minimally invasive cardiac surgery a number of alternative inflow sites for coronary artery bypass grafting have been utilized, especially in higher risk patients. The use of axillary-coronary artery bypass is a safe and effective alternative especially in the case of patients requiring redo coronary revascularization. However, the length and convoluted course of the axillary-coronary vein graft makes is susceptible to twisting, trauma and neointimal hyperplasia. We therefore report a case of an axillary-coronary artery bypass in a high risk patient in which a Dacron conduit was used to externally support and protect the vein graft to the left anterior descending artery. Surgical technique and considerations are presented and discussed.
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spelling pubmed-22677812008-03-15 Axillary artery to left anterior descending coronary artery bypass with an externally stented graft: a technical report Athanasiou, Thanos Kapetanakis, Emmanouil I Rao, Christopher Salvador, Loris Darzi, Ara J Cardiothorac Surg Case Report With the proliferation of minimally invasive cardiac surgery a number of alternative inflow sites for coronary artery bypass grafting have been utilized, especially in higher risk patients. The use of axillary-coronary artery bypass is a safe and effective alternative especially in the case of patients requiring redo coronary revascularization. However, the length and convoluted course of the axillary-coronary vein graft makes is susceptible to twisting, trauma and neointimal hyperplasia. We therefore report a case of an axillary-coronary artery bypass in a high risk patient in which a Dacron conduit was used to externally support and protect the vein graft to the left anterior descending artery. Surgical technique and considerations are presented and discussed. BioMed Central 2008-02-12 /pmc/articles/PMC2267781/ /pubmed/18269756 http://dx.doi.org/10.1186/1749-8090-3-6 Text en Copyright © 2008 Athanasiou et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Athanasiou, Thanos
Kapetanakis, Emmanouil I
Rao, Christopher
Salvador, Loris
Darzi, Ara
Axillary artery to left anterior descending coronary artery bypass with an externally stented graft: a technical report
title Axillary artery to left anterior descending coronary artery bypass with an externally stented graft: a technical report
title_full Axillary artery to left anterior descending coronary artery bypass with an externally stented graft: a technical report
title_fullStr Axillary artery to left anterior descending coronary artery bypass with an externally stented graft: a technical report
title_full_unstemmed Axillary artery to left anterior descending coronary artery bypass with an externally stented graft: a technical report
title_short Axillary artery to left anterior descending coronary artery bypass with an externally stented graft: a technical report
title_sort axillary artery to left anterior descending coronary artery bypass with an externally stented graft: a technical report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267781/
https://www.ncbi.nlm.nih.gov/pubmed/18269756
http://dx.doi.org/10.1186/1749-8090-3-6
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