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J Thorac Cardiovasc Surg 2003;125:950-952
© 2003 The American Association for Thoracic Surgery

Brief Communications

Endografting facilitated by axillary-axillary bypass for distal arch aneurysm after left internal thoracic artery to left anterior descending artery bypass surgery

Naozumi Saiki, MD, Shin Ishimaru, MD, Satoshi Kawaguchi, MD, Taro Shimazaki, MD, Yoshihiko Yokoi, MD, Yukio Obitsu, MD Tokyo, Japan

From the Department of Surgery II, Tokyo Medical University, Tokyo, Japan.

Received for publication April 24, 2002. Accepted for publication June 13, 2002. Address for reprints: Naozumi Saiki, MD, Tokyo Medical University, Surgery II, 6-7-1, Nishishinjuku, Tokyo 160-0023, Japan.

The first 20% of the full text of this article appears below.

Endograft repair is a less-invasive method of treating thoracic aortic aneurysms.Go 1 Despite advances in open surgical techniques and cardiopulmonary bypass, cerebral injury still remains a frequent postoperative complication with these procedures. We report a case of thoracic aortic aneurysm that developed after coronary artery bypass grafting of the left internal thoracic artery (LITA) to the left anterior descending artery (LAD). It was successfully managed by means of endografting and an axillary-axillary bypass procedure, so as to maintain left subclavian arterial flow.Go Go 2-4

Clinical summary

A 69-year-old man presented for stent graft treatment of a thoracic aortic aneurysm in December 2000. The patient had undergone abdominal aortic aneurysm repair 12 years earlier. He had a left hemiplegia after a stroke 4 years earlier. In June 2001, the patient had hoarseness. In June 1999, he had undergone coronary artery bypass grafting with a LITA anastomosis to the LAD, a radial artery graft to the right posterior descending artery, and a saphenous vein graft to the obtuse marginal branch.

Computed . . . [Full Text of this Article]






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