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Ann Thorac Surg 2004;77:718-720
© 2004 The Society of Thoracic Surgeons

Case report

Aortic valve replacement in a patient with a patent internal thoracic artery graft

Takashi Ueda, MD*a, Tetsuji Kawata, MDa, Hidehito Sakaguchi, MDa, Nobuoki Tabayashi, MDa, Takehisa Abe, MDa, Tomoaki Hirose, MDa, Shigeki Taniguchi, MDa

a Department of Surgery III, Nara Medical University, Nara, Japan

Accepted for publication April 9, 2003.

* Address reprint requests to Dr Ueda, Department of Surgery III, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan
e-mail: u-taka{at}naramed-u.ac.jp

Myocardial protection in patients requiring a second open-heart surgical procedure after coronary artery bypass grafting, especially when there is a patent left internal thoracic artery graft to the left anterior descending coronary artery, remains controversial. We present the case of a patient in whom aortic valve replacement was undertaken 18 months after coronary artery revascularization. Unusual features included beating-heart aortic valve replacement with continuous retrograde coronary sinus perfusion and avoidance of dissection of the patent grafts, including the left internal thoracic artery and a saphenous vein graft.




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R. Battellini, A. J. Rastan, A. Fabricius, M. Moscoso-Luduena, N. Lachmann, and F. W. Mohr
Beating Heart Aortic Valve Replacement After Previous Coronary Artery Bypass Surgery With a Patent Internal Mammary Artery Graft
Ann. Thorac. Surg., March 1, 2007; 83(3): 1206 - 1209.
[Abstract] [Full Text] [PDF]


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