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Journal of Cardiothoracic Surgery

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Open Access 01-12-2017 | Case report

Concomitant aorto-right subclavian artery bypass with off-pump coronary artery bypass grafting: a case report

Authors: Hirokazu Tazume, Ken Okamoto, Toshihiro Fukui

Published in: Journal of Cardiothoracic Surgery | Issue 1/2017

Abstract

Background

Atherosclerotic stenosis of the brachiocephalic artery sometimes occurs in patients with coronary artery disease, and can cause stroke during the perioperative period of coronary artery bypass grafting.

Case presentation

We describe the case of a 77-year old male with severe stenosis of the brachiocephalic artery and severe coronary artery disease. He successfully underwent aorto-right subclavian artery bypass that was performed concomitantly with off-pump coronary artery bypass.

Conclusion

Concomitant aorto-subclavian artery bypass with off-pump coronary artery bypass grafting is a therapeutic option that minimizes the risk of perioperative stroke in patients with brachiocephalic artery stenosis and coronary artery disease.

Shadman R, Criqui MH, Bundens WP, Fronek A, Denenberg JO, Gamst AC, et al. Subclavian artery stenosis: prevalence, risk factors, and association with cardiovascular diseases. J Am Coll Cardiol. 2004;44:618–23.CrossRefPubMed

Berguer R, Morasch MD, Kline RA, Kazmers A, Friedland MS. Cervical reconstruction of the supra-aortic trunks: a 16-year experience. J Vasc Surg. 1999;29:239–46.CrossRefPubMed

Nishigawa K, Fukui T, Tabata M, Takanashi S. V-composite grafting using the right internal thoracic artery grafts anastomosed to aorto-coronary bypass grafts. Eur J Cardiothorac Surg. 2015;48:753–7.CrossRefPubMed

Modarai B, Ali T, Dourado R, Reidy JF, Taylor PR, Burnaud KG. Comparison of the extra-anatomic bypass with angioplasty for atherosclerotic disease of the supra-aortic trunk. Br J Surg. 2004;91:1453–7.CrossRefPubMed

Khalil A, Nashef SA. An alternative surgical approach to subclavian and innominate stenosis: a case series. J Cardiothorac Surg. 2010;5:73.CrossRefPubMedPubMedCentral

Takach TJ, Reul GJ, Duncan JM, Krajcer Z, Livesay JJ, Gregoric ID, et al. Concomitant brachiocephalic and coronary artery disease: outcome and decision analysis. Ann Thorac Surg. 2005;80:564–9.CrossRefPubMed

Title: Concomitant aorto-right subclavian artery bypass with off-pump coronary artery bypass grafting: a case report
Authors: Hirokazu Tazume
Ken Okamoto
Toshihiro Fukui
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2017
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-017-0650-0

At a glance: The STEP trials

Springer Medicine

Concomitant aorto-right subclavian artery bypass with off-pump coronary artery bypass grafting: a case report

Abstract

Background

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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