Japanese Journal of Cardiovascular Surgery
Online ISSN : 1883-4108
Print ISSN : 0285-1474
ISSN-L : 0285-1474
Case Reports [Acquired Cardiovascular Surgery]
The Use of a Proximal Anastomotic Device to the Side of the Aortic Arch in CABG and AVR: a Case Report
Maiko Matsuda, Takahiro Fujimoto, Mitsuru Yuzaki, Yoshitaka Okamura, Yoshiharu Nishimura
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Keywords: coronary artery bypass grafting, proximal anastomosis, clampless proximal anastomotic device, dilated ascending aorta
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2024 Volume 53 Issue 2 Pages 70-73

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Abstract

A 73-year-old woman presented at our hospital with dyspnea. Echocardiography showed severe aortic stenosis and a coronary angiography revealed right coronary artery disease. Therefore, we performed aortic valve replacement (AVR) and coronary artery bypass grafting (CABG) surgery. Proximal anastomosis was initially attempted to the ascending aorta. However, the ascending aorta was thin and weak, we decided to anastomose to the side of the aortic arch. Proximal anastomosis was performed with an anastomotic device. Postoperative coronary computed tomography (CT) showed that the graft was patent.

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© 2024 The Japanese Society for Cardiovascular Surgery
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