Korean J Thorac Cardiovasc Surg.  2002 Jul;35(7):553-555.

Redo CABG Through a Transabdominal Approach: A Case Report

Affiliations
  • 1Department of Thoracic, Seoul National University Hospital, Seoul National University College of Medicine, Korea.
  • 2Department of Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea.

Abstract

Transabdominal approach in redo coronary artery bypass grafting(CABG) may avoid the risk related to repeat sternotomy. Redo CABG using this approach can be performed safely in selected cases. We report a case of redo off-pump CABG through a transabdominal approach in a 59-year-old woman with recurrent unstable angina after a previous CABG. Through a curvilinear epigastric incision, right gastroepiploic artery(RGEA) was harvested as a graft, and the RGEA-to-right coronary artery anastomosis was performed on the beating heart. A 1-day postoperative angiographic study showed the patent RGEA graft, and she was discharged on postoperative 4th day without any complication.

Keyword

Coronary artery bypass; Reoperation

MeSH Terms

Angina, Unstable
Coronary Artery Bypass
Coronary Vessels
Female
Heart
Humans
Middle Aged
Reoperation
Sternotomy
Transplants
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