Vol. 19 No. 4 (2015)
CASE REPORTS

Repeated reconstruction of distal mammarocoronary anastomosis through left thoracotomy

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  • I. Sigaev,
  • A. Kazaryan,
  • M. Starostin,
  • B. Morchadze
I. Sigaev
A. Bakoulev Scientific Centre for Cardiovascular Surgery, Ministry of Health Care of Russian Federation, 8 Leninskiy Prospect, 119049 Moscow, Russian Federation
A. Kazaryan
A. Bakoulev Scientific Centre for Cardiovascular Surgery, Ministry of Health Care of Russian Federation, 8 Leninskiy Prospect, 119049 Moscow, Russian Federation
M. Starostin
A. Bakoulev Scientific Centre for Cardiovascular Surgery, Ministry of Health Care of Russian Federation, 8 Leninskiy Prospect, 119049 Moscow, Russian Federation
B. Morchadze
A. Bakoulev Scientific Centre for Cardiovascular Surgery, Ministry of Health Care of Russian Federation, 8 Leninskiy Prospect, 119049 Moscow, Russian Federation
DOI: https://doi.org/10.21688/1681-3472-2015-4-130-133

Published 2016-01-11

Keywords

  • aortocoronary bypass surgery,
  • low-invasive myocardial revascularization,
  • MIDCAB,
  • repeated CABG

How to Cite

Sigaev, I., Kazaryan, A., Starostin, M., & Morchadze, B. (2016). Repeated reconstruction of distal mammarocoronary anastomosis through left thoracotomy. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 19(4), 130–133. https://doi.org/10.21688/1681-3472-2015-4-130-133

Copyright (c) 2016 Sigaev I.Yu., Kazaryan A.V., Starostin M.V., Morchadze B.D.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

The population of patients subjected to repeated revascularization has changed over the past twenty years. They are mostly elderly patients with multiple comorbidities. In addition to demographic changes, there are also changes in the results of various strategies used in CABG. The widespread use of arterial grafts during CABG leads to an increase in the period between primary surgery and repeated one. However, in some cases there occurs a dysfunction of arterial shunts. MIDCAB is an excellent option for surgical treatment of patients with an isolated lesion of LAD and it can be also used to repair mammaroсoronary shunt defects. The authors report a case of successful repeated reconstruction of mammaroсoronary anastomosis from lateral thoracotomy in a patient with angina relapse after previous ITA-LAD grafting complicated with sternum osteomyelitis followed by its resection and plasty.

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References

  1. Колесов В.И. Первый опыт лечения стенокардии наложением венечно-системных сосудистых соустьев // Кардиология. 1967. № 4. С. 20–25.
  2. Buffolo E., Andrade J.C.S., Branco J.N.R., Teles C.A., Aguilar L.F.A., Gomez W.J. Coronary artery surgery without cardiopulmonary bypass // Ann. Thorac. Surg. 1996. Vol. 61. P. 63–6.
  3. Benetti F.J., Naselli G., Wood M., Geffner L. Direct myocardial revascularisation without extracorporeal circulation // Chest. 1991. Vol. 100. P. 312–6.
  4. Calafiore A.M., Di Giammarco G., Teodori G., Bosco G., D'Annunzio E., Barsotti A., Maddestra N., Paloscia L., Vitolla G., Sciarra A., Fino C., Contini M. Left anterior descending coronary artery grafting via left anterior small thoracotomy without cardiopulmonary bypass: LAST operation // Ann. Thorac. Surg. 1996. Vol. 61. P. 1658–65.
  5. Бокерия Л.А., Беришвили И. И., Сигаев И. Ю. Современные тенденции и перспективы развития коронарной хирургии // Анналы хирургии. 1997. № 4. С. 31–45.
  6. Шабалкин Б.В. Прошлое, настоящее и будущее в хирургическом лечении ишемической болезни сердца // Анналы РНЦХ РАМН. 1998. № 7. С. 159–162.
  7. DeLeon S.Y., LoCicero J. III, Ilbawi M.N., Idriss F.S. Repeat median sternotomy in pediatrics: experience in 164 consecutive cases // Ann. Thorac. Surg. 1986. № 41. Р. 184–186.
  8. Elahi M., Dhannapuneni R., Firmin R., Hickey M. Direct complications of repeat median sternotomy in adults // Asian Cardiovasc. Thorac. Ann. 2005. № 13. Р. 135–137.
  9. Ellman P.I., Smith R.L., Girotti M.E., Thompson P.W., Kron I.L. Cardiac injury during resternotomy does not affect perioperative mortality. Southern Surgical Association Meeting, Hot Springs, VA, December 2–5, 2007. abstract number 25.
  10. Шнейдер Ю.А. Аутоартериальное шунтирование сосудов сердца без искусственного кровообращения // Грудная и сердечно-сосудистая хирургия. М., 2001. № 2. С. 31–34.