Document Detail

Off-pump coronary artery bypass in patients with Takayasu's disease.
MedLine Citation:
PMID:  15172296     Owner:  NLM     Status:  MEDLINE    
We report 2 patients with ostial stenoses of coronary arteries and heavy aortic calcification caused by Takayasu's disease in which severe angina was successfully relieved by off-pump coronary artery bypass grafting. In one case, visceral arteries such as the right gastroepiploic artery, the superior mesenteric artery, and the splenic artery were used as proximal blood sources of saphenous vein grafts. In another case, an aortic connector system was employed for proximal anastomoses of saphenous vein grafts. The use of off-pump coronary artery bypass grafting techniques should be considered in surgical coronary revascularization in patients with Takayasu's disease, thus leading to wide-spreading indication for the surgery.
Atsushi Yamaguchi; Hidehito Endo; Hideo Adachi; Koji Kawahito; Takashi Ino
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  77     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-02     Completed Date:  2004-06-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2186-8     Citation Subset:  AIM; IM    
Department of Cardiovascular Surgery, Omiya Medical Center, Jichi Medical School, Saitama, Japan.
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MeSH Terms
Aorta, Thoracic
Aortic Diseases / diagnosis
Calcinosis / diagnosis,  surgery
Coronary Angiography
Coronary Artery Bypass*
Coronary Stenosis / diagnosis,  surgery*
Magnetic Resonance Imaging
Middle Aged
Saphenous Vein / transplantation
Takayasu Arteritis / diagnosis,  surgery*
Veins / transplantation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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