Shimoji M, Koja K, Kuniyoshi Y, Iha K, Akasaki M, Kusaba A
Second Department of Surgery, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Nov;42(11):2150-4.
A 71-year-old man who had undergone coronary artery bypass grafting (CABG) 9 years ago, was admitted for chest compression on exertion. A severe stenotic lesion (75%) of the main trunk of the left coronary artery and occlusion of the bypass graft previously implanted to the right coronary artery were showed by coronary angiography. Redo-CABG using the left inferior epigastric artery (LIEA) and left internal thoracic artery (LITA) was successfully done, since the saphenous vein and right gastroepiploic artery were not suitable for bypass graft. Post operative cource was uneventful and good patency of LIEA and LITA graft were revealed by postoperative angiography 34 days after surgery.
