Severe coronary artery disease with coarctation of the aorta: role of off-pump coronary artery bypass grafting.

作者信息

Balakrishnan Komarakshi R, Thanikachalam Sadagopan, Murthy Jayanthi Satyanarayana, Saldanha Richard, Jayarajah Mariappan

机构信息

Department of Cardiothoracic Surgery Ramachandra Medical College Hospital, Porur, Madras, India.

出版信息

Ann Thorac Surg. 2005 Jan;79(1):343-5. doi: 10.1016/j.athoracsur.2003.08.069.

DOI:10.1016/j.athoracsur.2003.08.069

PMID:15620979

Abstract

Severe coronary artery disease with coarctation of the aorta is an unusual and challenging clinical problem. We encountered three adults with severe coronary artery disease and tight coarctation of the aorta. Since angina was the dominant symptom in all, off-pump coronary artery bypass grafting (OPCABG) was done as a first stage. All survived the operation. After a gap of 3 weeks, coarctation repair has been done in 1 patient. We believe that OPCABG offers some unique advantages in this difficult situation.

摘要