Combination Therapy for Adult Coronary Artery Aneurysm With Off-pump Coronary Artery Bypass Grafting and Vein Graft-coated Stent
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- Ishikawa Susumu
- Second Department of Surgery, Gunma University Faculty of Medicine
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- Wakamatsu Shuh
- Department of Cardiology, Maebashi Red Cross Hospital
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- Tange Shoichi
- Department of Cardiology, Maebashi Red Cross Hospital
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- Sakata Kazuhiro
- Second Department of Surgery, Gunma University Faculty of Medicine
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- Ohtaki Akio
- Second Department of Surgery, Gunma University Faculty of Medicine
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- Morishita Yasuo
- Second Department of Surgery, Gunma University Faculty of Medicine
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抄録
We report on a 51-year-old Japanese female with bilateral coronary artery aneurysms. Severe calcified aneurysms were detected in the proximal right coronary artery (RCA) and left anterior descending branch (LAD). The RCA was totally occluded and supplied by the blood flow via septal branches of the LAD. A two-stage management plan, including an off-pump coronary artery bypass grafting for the RCA with a right gastroepiploic artery and catheter angioplasty with an autologous vein graft-coated stent for the LAD, was successfully completed. Prophylactic treatments for coronary artery aneurysm are still controversial, therefore, minimal invasive procedures should be favored to prevent acute cardiac shock or sudden death related to aneurysmal obstruction. <br>
収録刊行物
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- Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ
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Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ 45 (1), 157-161, 2004
International Heart Journal刊行会