Ueda Takashi, Kawata Tetsuji, Sakaguchi Hidehito, Tabayashi Nobuoki, Abe Takehisa, Hirose Tomoaki, Taniguchi Shigeki
Department of Surgery III, Nara Medical University, Nara, Japan.
Ann Thorac Surg. 2004 Feb;77(2):718-20. doi: 10.1016/S0003-4975(03)01170-6.
Myocardial protection in patients requiring a second open-heart surgical procedure after coronary artery bypass grafting, especially when there is a patent left internal thoracic artery graft to the left anterior descending coronary artery, remains controversial. We present the case of a patient in whom aortic valve replacement was undertaken 18 months after coronary artery revascularization. Unusual features included beating-heart aortic valve replacement with continuous retrograde coronary sinus perfusion and avoidance of dissection of the patent grafts, including the left internal thoracic artery and a saphenous vein graft.
