Korean J Thorac Cardiovasc Surg.  2017 Apr;50(2):105-109. 10.5090/kjtcs.2017.50.2.105.

Hybrid Coronary Artery Revascularization for Takayasu Arteritis with Major Visceral Collateral Circulation from the Left Internal Thoracic Artery

• Sim HT
• Kim JW
• Yoo JS
• Cho KR

• KMID: 2381916
• DOI: http://doi.org/10.5090/kjtcs.2017.50.2.105

Abstract

Coronary arterial involvement in Takayasu arteritis (TA) is not uncommon. Herein, we describe a case of TA with celiac trunk and superior mesenteric artery occlusion combined with coronary artery disease. Bilateral huge internal thoracic arteries (ITAs) and the inferior mesenteric artery provided the major visceral collateral circulation. After percutaneous intervention to the right coronary artery, off-pump coronary artery bypass grafting for the left coronary territory was done using a right ITA graft and its large side branch because of its relatively minor contribution to the visceral collateral circulation.

Keyword

Takayasu arteritis; Coronary artery disease; Coronary artery bypass; Internal thoracic artery; Collateral circulation

MeSH Terms

Collateral Circulation*
Coronary Artery Bypass
Coronary Artery Bypass, Off-Pump
Coronary Artery Disease
Coronary Vessels*
Mammary Arteries*
Mesenteric Artery, Inferior
Mesenteric Artery, Superior
Takayasu Arteritis*
Transplants