A potential risk of myocardial ischemia during thoracoabdominal aortic repair after coronary artery bypass grafting using the right gastroepiploic artery

Katsuhiko Matsuyama; Nobusato Koizumi; Kiyoshi Chiba; Katsutoshi Sato; Toru Iwahashi; Toshiya Nishibe; Hitoshi Ogino

doi:10.5761/atcs.cr.12.01963

A potential risk of myocardial ischemia during thoracoabdominal aortic repair after coronary artery bypass grafting using the right gastroepiploic artery

Ann Thorac Cardiovasc Surg. 2013;19(4):310-2. doi: 10.5761/atcs.cr.12.01963. Epub 2012 Nov 15.

Authors

Katsuhiko Matsuyama¹, Nobusato Koizumi, Kiyoshi Chiba, Katsutoshi Sato, Toru Iwahashi, Toshiya Nishibe, Hitoshi Ogino

Affiliation

¹ Department of Cardiovascular Surgery, Tokyo Medical University Hospital, Tokyo, Japan.

PMID: 23232301
DOI: 10.5761/atcs.cr.12.01963

Abstract

In-situ right gastroepiploic artery (RGEA) has been used as one of the reliable conduits for coronary artery bypass grafting (CABG). We report a case of thoracoabdominal aortic aneurysm (TAAA) repair in a patient who had previous CABG using the RGEA graft. There is a great potential risk for critical myocardial ischemia when performing open repair for TAAA in those patients.

Publication types

Case Reports

MeSH terms

Aged
Aortic Aneurysm, Thoracic / diagnosis
Aortic Aneurysm, Thoracic / physiopathology
Aortic Aneurysm, Thoracic / surgery*
Aortography / methods
Blood Vessel Prosthesis Implantation / adverse effects*
Coronary Artery Bypass / adverse effects*
Endovascular Procedures / adverse effects*
Fatal Outcome
Gastroepiploic Artery / physiopathology
Gastroepiploic Artery / transplantation*
Hemodynamics
Humans
Male
Myocardial Ischemia / etiology*
Myocardial Ischemia / physiopathology
Regional Blood Flow
Risk Factors
Tomography, X-Ray Computed
Treatment Outcome