Reinforcement of saphenous vein graft with ePTFE graft for axillocoronary bypass grafting.

Nagahama, Hiroyuki; Fukushima, Yasunori; Hayase, Takahiro; Yoshioka, Makoto; Onitsuka, Toshio · Ann Thorac Surg · 2005

case_report · Level V

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Abstract

Arteriosclerosis in the ascending aorta is widely accepted as a strong risk factor for the occurrence of stroke after coronary artery bypass grafting (CABG). The aortic no-touch technique, with a variety of modifications, has been used to reduce the risk of post-CABG stroke. Saphenous vein grafts (SVGs) have been used for axillocoronary bypass grafting, a modification of the aortic no-touch technique. However, kinking or compression often occurs with SVGs. We report here the successful application of an 8-mm expanded polytetrafluoroethylene graft, of the external bead support type, that was used to cover an SVG during axillocoronary bypass grafting.

Medical subject headings