Published in:
Open Access
01-12-2013 | Case report
Total aortic arch replacement with patent left internal thoracic artery graft after previous coronary artery bypass graft surgery
Authors:
Junichi Shimamura, Hidehito Endo, Hiroshi Tsuchiya, Yusuke Inaba, Yu Takahashi, Hiroshi Kubota
Published in:
Journal of Cardiothoracic Surgery
|
Issue 1/2013
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Abstract
A 78-year-old man, who had previously undergone coronary artery bypass graft surgery, was admitted to our department for treatment of a distal aortic arch aneurysm. A total aortic arch replacement with a patent left internal thoracic artery (LITA) graft was successfully performed without cardiac ischemic or neurological complications. Use of retrograde cardioplegia with intermittent pressure-augmented retrograde cerebral perfusion without clamping and dissecting the LITA graft were effective in myocardial and cerebral protection.