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Minoru Tanaka
Toshio Abe
Eiji Takeuchi
Takashi Watanabe
Shuji Tamaki
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Ann Thorac Surg 1992;53:894-895
© 1992 The Society of Thoracic Surgeons

Articles

Revascularization for coronary ostial stenosis in Takayasu's disease with calcified aorta

Minoru Tanaka, MD*, Toshio Abe, MD, Eiji Takeuchi, MD, Takashi Watanabe, MD, Shuji Tamaki, MD

Department of Thoracic Surgery, Nagoya University School of Medicine, Nagoya, Japan

Accepted for publication September 5, 1991.

* Address reprint requests to Dr Tanaka, Department of Thoracic Surgery. Nagoya University School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466, Japan.

A case in which a patient with stenoses of the right and left coronary ostia and heavy calcification of the aorta caused by Takayasu's disease was successfully treated by coronary artery bypass grafting is presented. The aortic ends of the two grafts were attached to a xenopericardial patch, which was sutured into the ascending aorta. This technique can be done without fine sutures, which are required for proximal anastomosis of a vein graft, and may reduce the risk of ostial stenosis.






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