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Redo-Coronary Artery Bypass due to Progression of the Celiac Axis Stenosis

  • Yeom, Sang-Yoon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Hwang, Ho-Young (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Ki-Bong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2011.12.05
  • Accepted : 2012.01.25
  • Published : 2012.08.05

Abstract

We report a redo coronary artery bypass grafting (CABG) in a 55-year-old man. Angina recurred 7 years after the initial surgery. Coronary angiography showed all patent grafts except a faint visualization of the in situ right gastroepiploic artery (RGEA) graft, which was anastomosed to the posterior descending coronary artery, associated with celiac axis stenosis. Redo-CABG was performed at postoperative 10 years because of aggravated angina and decreased perfusion of the inferior wall in the myocardial single photon emission computed tomography. The saphenous vein graft was interposed between the 2 in situ grafts used previously; the right internal thoracic artery and RGEA grafts. Angina was relieved and myocardial perfusion was improved.

Keywords

References

  1. Ferguson TB Jr, Hammill BG, Peterson ED, DeLong ER, Grover FL; STS National Database Committee. A decade of change--risk profiles and outcomes for isolated coronary artery bypass grafting procedures, 1990-1999: a report from the STS National Database Committee and the Duke Clinical Research Institute. Society of Thoracic Surgeons. Ann Thorac Surg 2002;73:480-9. https://doi.org/10.1016/S0003-4975(01)03339-2
  2. Zacharias A, Schwann TA, Riordan CJ, et al. Late outcomes after radial artery versus saphenous vein grafting during reoperative coronary artery bypass surgery. J Thorac Cardiovasc Surg 2010;139:1511-8.e4. https://doi.org/10.1016/j.jtcvs.2009.07.068
  3. Jegaden O, Eker A, Montagna P, et al. Technical aspects and late functional results of gastroepiploic bypass grafting (400 cases). Eur J Cardiothorac Surg 1995;9:575-80. https://doi.org/10.1016/S1010-7940(05)80009-0
  4. Park CM, Chung JW, Kim HB, Shin SJ, Park JH. Celiac axis stenosis: incidence and etiologies in asymptomatic individuals. Korean J Radiol 2001;2:8-13. https://doi.org/10.3348/kjr.2001.2.1.8
  5. AbuRahma AF, Stone PA, Bates MC, Welch CA. Angioplasty/ stenting of the superior mesenteric artery and celiac trunk: early and late outcomes. J Endovasc Ther 2003;10: 1046-53. https://doi.org/10.1583/1545-1550(2003)010<1046:SOTSMA>2.0.CO;2
  6. Min HK, Lee YT, Kim WS, et al. Complete revascularization using a patent left internal thoracic artery and variable arterial grafts in multivessel coronary reoperation. Heart Surg Forum 2009;12:E244-9. https://doi.org/10.1532/HSF98.20091028