Related Experiment Video

Updated: Nov 9, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

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Aorto-left common carotid artery bypass with off-pump coronary artery bypass

Tomoki Nagata1, Takashi Yamada2, Hiroyuki Johno1

  • 1Department of Cardiovascular Surgery, Takaishi Fujii Cardiovascular Hospital, Osaka, Japan.

Asian Cardiovascular & Thoracic Annals
|April 15, 2021
PubMed

Insights

Severe stenosis of the left common carotid artery (CCA) and coronary artery disease (CAD) is rare. A combined surgical approach using off-pump coronary artery bypass and aorto-left CCA bypass offers a safe and effective treatment.

Area of Science:

  • Cardiovascular Surgery
  • Cerebrovascular Surgery

Background:

  • Coronary artery disease (CAD) and carotid artery disease (CAD) can coexist.
  • Ostial stenosis of the left common carotid artery (CCA) concurrent with CAD is exceptionally rare.

Observation:

  • A patient presented with severe stenosis of the left CCA ostium and concurrent CAD.
  • This rare condition required a complex surgical intervention.

Findings:

  • Successful treatment was achieved using off-pump coronary artery bypass and aorto-left CCA bypass.
  • This surgical strategy effectively minimizes perioperative stroke risk.

Implications:

  • Aorto-supra aortic trunk bypass ensures a more physiological cerebral blood flow pattern.
  • This combined surgical approach represents a safe and effective treatment option for this rare dual pathology.
Abstract

Keywords:
Proximal common carotid artery stenosisaorto-carotid artery bypasscoronary artery diseaseoff-pump coronary artery bypass

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