Aortic valve replacement in a patient with a patent internal thoracic artery graft.
case_report · Level V
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- Record sourced from PubMed, PMID 14759474.
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Abstract
Myocardial protection in patients requiring a second open-heart surgical procedure after coronary artery bypass grafting, especially when there is a patent left internal thoracic artery graft to the left anterior descending coronary artery, remains controversial. We present the case of a patient in whom aortic valve replacement was undertaken 18 months after coronary artery revascularization. Unusual features included beating-heart aortic valve replacement with continuous retrograde coronary sinus perfusion and avoidance of dissection of the patent grafts, including the left internal thoracic artery and a saphenous vein graft.
Medical subject headings
- Aortic Valve Insufficiency
- Arteries
- Bioprosthesis
- Coronary Artery Bypass
- Coronary Stenosis
- Heart Valve Prosthesis Implantation
- Postoperative Complications
- Vascular Patency