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Ann Thorac Surg 2006;82:1889-1891
© 2006 The Society of Thoracic Surgeons

Case Reports

Successful Coronary Revascularization Using the PAS-Port System in a Patient With Takayasu's Arteritis and Behcet's Disease

Kenji Iino, MD*, Shigeyuki Tomita, MD, Koichi Higashidani, MD, Toshimi Ujiie, MD, Sadahiko Arai, MD, Go Watanabe, MD

Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine, Kanazawa, Japan

Accepted for publication February 27, 2006.

* Address correspondence to Dr Iino, Department of General and Cardiothoracic Surgery, Kanazawa University of Medicine, 13-1 Takaramachi, Kanazawa, 920-8641 Japan. (Email: k-iino{at}m8.dion.ne.jp).

Coronary artery disease is rare in patients with Takayasu's arteritis or Behcet's disease. We report the case of a patient with concomitant Takayasu's arteritis and Behcet's disease who had angina pectoris develop due to severe narrowing of the left main coronary artery. The patient underwent revascularization with saphenous vein grafts with the assistance of the PAS–Port Proximal Anastomosis System (Cardica, Inc, Redwood City, CA). In conclusion, the PAS–Port Proximal Anastomosis System seems to be a safe and effective method of facilitating revascularization, particularly when severe calcification of the ascending aorta precludes cross-clamping during off-pump coronary artery bypass grafting.






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