Korean J Thorac Cardiovasc Surg.
2002 Jul;35(7):553-555.
Redo CABG Through a Transabdominal Approach: A Case Report
- Affiliations
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- 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
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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.