Concomitant aorto-right subclavian artery bypass with off-pump coronary artery bypass grafting: a case report
Hirokazu Tazume1, Ken Okamoto1, Toshihiro Fukui2
1Department of Cardiovascular Surgery, Kumamoto University Hospital, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Insights
A combined surgical approach for brachiocephalic artery stenosis and coronary artery disease can prevent stroke. This strategy involves aorto-right subclavian artery bypass alongside off-pump coronary artery bypass grafting.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Interventional Cardiology
Background:
- Atherosclerotic stenosis of the brachiocephalic artery is a concern in patients with coronary artery disease.
- This condition can lead to perioperative stroke during coronary artery bypass grafting.
Observation:
- A 77-year-old male patient presented with severe brachiocephalic artery stenosis and coronary artery disease.
- The patient underwent a successful concomitant aorto-right subclavian artery bypass and off-pump coronary artery bypass.
Findings:
- Concomitant aorto-subclavian artery bypass with off-pump coronary artery bypass grafting is a viable treatment.
- This combined approach effectively minimizes perioperative stroke risk.
Implications:
- This surgical strategy offers a solution for complex cases involving both brachiocephalic artery stenosis and coronary artery disease.
- It highlights the importance of addressing brachiocephalic artery stenosis concurrently with coronary revascularization to improve patient outcomes.
Background:
Atherosclerotic stenosis of the brachiocephalic artery sometimes occurs in patients with coronary artery disease, and can cause stroke during the perioperative period of coronary artery bypass grafting.
Case Presentation:
We describe the case of a 77-year old male with severe stenosis of the brachiocephalic artery and severe coronary artery disease. He successfully underwent aorto-right subclavian artery bypass that was performed concomitantly with off-pump coronary artery bypass.
Conclusion:
Concomitant aorto-subclavian artery bypass with off-pump coronary artery bypass grafting is a therapeutic option that minimizes the risk of perioperative stroke in patients with brachiocephalic artery stenosis and coronary artery disease.
