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[Coronary-coronary bypass (C-C bypass) in 2 cases]
T Ichihara1, R Seino, T Hiramatsu
1Department of Cardiovascular Surgery, Sendai Cardiovascular Center.
Insights
Coronary artery bypass grafting using both internal mammary artery (IMA) and saphenous vein grafts showed successful outcomes in patients with complex coronary artery disease. This approach is recommended for those with ascending aorta calcification or severe distal right coronary artery stenosis.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery
- Vascular Surgery
Background:
- Coronary artery disease (CAD) poses a significant health challenge, often requiring surgical intervention.
- Graft selection is crucial for successful coronary artery bypass grafting (CABG).
- Internal mammary artery (IMA) and saphenous vein grafts are commonly used in CABG procedures.
Abstract:
A left IMA graft to LAD associated with c-c graftings using saphenous vein were simultaneously performed in 70-year old man and 44-year-old man with multiple coronary disease. Postoperative catheterization showed patency in both cases. It is advisable to perform c-c bypass for patients with calcification of ascending aorta or stenosis of distal RCA such as 4-PD or 4-AV.