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  • 标题:Off-Pump Coronary Bypass Grafting for the Stenosis of the Left Main Trunk in a Patient with Aortitis Syndrome 35 Years after Aortic Valve Replacement Using a Ball Valve
  • 本地全文:下载
  • 作者:Masahito Saito ; Hiroshi Kiyama ; Nobuaki Kaki
  • 期刊名称:循環制御
  • 印刷版ISSN:0389-1844
  • 出版年度:2006
  • 卷号:27
  • 期号:3
  • 页码:236-239
  • DOI:10.11312/ccm.27.236
  • 出版社:Japan Society of Circulation Control in Medicine
  • 摘要:A 72-year-old woman, underwent aortic valve replacement(AVR) with a ball valve 35 years ago after the diagnosis of aortitis syndrome and aortic valve regurgitation. She developed unstable angina with 90% stenosis lesion of the left main trunk(LMT) ostium. We decided to carry out revascularization surgery since the strut of the ball valve was considered to be an obstacle to percutaneous coronary intervention. Using upper abdominal median and left anterolateral approachs, Off-pump coronary artery bypass grafting was performed with the right gastroepiploic artery grafting to the left anterior descending artery. The patient was discharged from the hospital on 17 post operative day without any sequalae.
  • 关键词:aortitis syndrome ; ball valve ; reoperation ; aortic calcification ; lesion of the LMT ostium
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