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Interact CardioVasc Thorac Surg 2009;9:906-908. doi:10.1510/icvts.2009.212597
© 2009 European Association of Cardio-Thoracic Surgery

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Yosuke Takahashi
Hirokazu Ohashi
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Case report - Vascular thoracic

Aorta non-touch coronary artery bypass grafting after total arch replacement for acute type A aortic dissection

Yosuke Takahashi*, Yasushi Tsutsumi, Osamu Monta and Hirokazu Ohashi

Department of Cardiovascular Surgery, Fukui Cardiovascular Center, 2-228 Shinbo, Fukui 910-0833, Japan

*Corresponding author. Tel.: +81-776-54-5660; fax: +81-776-53-2132.

E-mail address: ysk{at}msic.med.osaka-cu.ac.jp (Y. Takahashi).

We report successful surgical treatment of coronary artery disease (CAD) in a 53-year-old man. The man was admitted to our hospital due to severe anterior chest pain. He had a surgical history of total arch replacement for acute type A dissection 10 years previously. Angiography showed triple-vessel disease and partial dissection of the descending aorta. To avoid excessive excision and to perform surgery safely, we chose aorta non-touch techniques for coronary artery bypass grafting (CABG). The postoperative course was uneventful and the patient was discharged 30 days after surgery.

Key Words: Coronary artery bypass grafting; Aorta non-touch technique; Acute aortic dissection







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