Aortic Valve Replacement after Previous Coronary Artery Bypass Grafting: A Case Report
We experienced a case of aortic valve replacement after previous coronary artery bypass grafting with patent bypass grafts. Based on the retrosternal anatomy assessed by preoperative angiography and thoracic computed tomography, aortic valve replacement was performed through a median resternotomy. A...
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| Veröffentlicht in: | Kurume medical journal 2013/05/31, Vol.60(1), pp.29-32 |
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| container_title | Kurume medical journal |
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| creator | SUZUKI, SHIGEMITSU NAKAMURA, KATSUHIKO TAKAGI, KAZUMI KASHIKIE, HIDEYUKI AKAIWA, KEIICHI |
| description | We experienced a case of aortic valve replacement after previous coronary artery bypass grafting with patent bypass grafts. Based on the retrosternal anatomy assessed by preoperative angiography and thoracic computed tomography, aortic valve replacement was performed through a median resternotomy. After careful dissection of the right side of the heart and the ascending aorta, cardiopulmonary bypass was established with cannulation of the ascending aorta and bicaval venous cannulation. The patent bypass grafts were dissected only as required for clamping and were clamped during cardiac arrest. After aortic valve replacement, the patient was uneventfully weaned from cardiopulmonary bypass and had a good postoperative recovery. It is important that surgeons have a meticulous strategy for reducing the risks associated with operating on patients with patent bypass grafts. We report on the surgical management of patients undergoing aortic valve replacement after previous coronary artery bypass grafting, including careful planning during the first operation. |
| doi_str_mv | 10.2739/kurumemedj.MS62006 |
| format | Article |
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Based on the retrosternal anatomy assessed by preoperative angiography and thoracic computed tomography, aortic valve replacement was performed through a median resternotomy. After careful dissection of the right side of the heart and the ascending aorta, cardiopulmonary bypass was established with cannulation of the ascending aorta and bicaval venous cannulation. The patent bypass grafts were dissected only as required for clamping and were clamped during cardiac arrest. After aortic valve replacement, the patient was uneventfully weaned from cardiopulmonary bypass and had a good postoperative recovery. It is important that surgeons have a meticulous strategy for reducing the risks associated with operating on patients with patent bypass grafts. We report on the surgical management of patients undergoing aortic valve replacement after previous coronary artery bypass grafting, including careful planning during the first operation.</description><identifier>ISSN: 0023-5679</identifier><identifier>EISSN: 1881-2090</identifier><identifier>DOI: 10.2739/kurumemedj.MS62006</identifier><identifier>PMID: 23877203</identifier><language>eng</language><publisher>Japan: Kurume University School of Medicine</publisher><subject>Aged ; Aortic Valve - surgery ; aortic valve replacement ; Aortic Valve Stenosis - diagnosis ; Aortic Valve Stenosis - surgery ; Cardiopulmonary Bypass ; Constriction ; Coronary Angiography ; Coronary Artery Bypass ; coronary artery bypass grafting ; Heart Arrest, Induced ; Heart Valve Prosthesis Implantation ; Humans ; Male ; patent bypass grafts ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>The Kurume Medical Journal, 2013/05/31, Vol.60(1), pp.29-32</ispartof><rights>2013 Kurume University School of Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4746-998760ff4161d9a9dc6fafa3a47896edcee2b1ead41a47eb3b43a3d7096a03c43</citedby><cites>FETCH-LOGICAL-c4746-998760ff4161d9a9dc6fafa3a47896edcee2b1ead41a47eb3b43a3d7096a03c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,1884,4025,27927,27928,27929</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23877203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SUZUKI, SHIGEMITSU</creatorcontrib><creatorcontrib>NAKAMURA, KATSUHIKO</creatorcontrib><creatorcontrib>TAKAGI, KAZUMI</creatorcontrib><creatorcontrib>KASHIKIE, HIDEYUKI</creatorcontrib><creatorcontrib>AKAIWA, KEIICHI</creatorcontrib><title>Aortic Valve Replacement after Previous Coronary Artery Bypass Grafting: A Case Report</title><title>Kurume medical journal</title><addtitle>Kurume Med. J.</addtitle><description>We experienced a case of aortic valve replacement after previous coronary artery bypass grafting with patent bypass grafts. Based on the retrosternal anatomy assessed by preoperative angiography and thoracic computed tomography, aortic valve replacement was performed through a median resternotomy. After careful dissection of the right side of the heart and the ascending aorta, cardiopulmonary bypass was established with cannulation of the ascending aorta and bicaval venous cannulation. The patent bypass grafts were dissected only as required for clamping and were clamped during cardiac arrest. After aortic valve replacement, the patient was uneventfully weaned from cardiopulmonary bypass and had a good postoperative recovery. It is important that surgeons have a meticulous strategy for reducing the risks associated with operating on patients with patent bypass grafts. We report on the surgical management of patients undergoing aortic valve replacement after previous coronary artery bypass grafting, including careful planning during the first operation.</description><subject>Aged</subject><subject>Aortic Valve - surgery</subject><subject>aortic valve replacement</subject><subject>Aortic Valve Stenosis - diagnosis</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Cardiopulmonary Bypass</subject><subject>Constriction</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Bypass</subject><subject>coronary artery bypass grafting</subject><subject>Heart Arrest, Induced</subject><subject>Heart Valve Prosthesis Implantation</subject><subject>Humans</subject><subject>Male</subject><subject>patent bypass grafts</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0023-5679</issn><issn>1881-2090</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1PGzEQhi1UBCnwBzggH3tZGH_Eu-aWRi0ggUAtcLUm3lnYsNkN9i5S_n0dkqa9zEjjZx6NX8ZOBZzLXNmLtyEMC1pQOT-_-20kgNljI1EUIpNg4QsbAUiVjU1uD9nXGOcAuigkHLBDqYo8l6BG7HnShb72_BmbD-K_aNmgT8q251j1FPhDoI-6GyKfdqFrMaz4JKT5in9fLTFGfhUSV7cvl3zCpxg_Fcl4zPYrbCKdbPsRe_r543F6nd3eX91MJ7eZ17k2mbVFbqCqtDCitGhLbyqsUKHOC2uo9ERyJghLLdKIZmqmFaoyB2sQlNfqiH3beJehex8o9m5RR09Ngy2lq53QWmmQ47FKqNygPnQxBqrcMtSL9CMnwK3zdP_ydNs809LZ1j_M0sNu5W-ACbjeAPPY4wvtAFyn2tD_TgNOrMvWvUP8KwZHrfoDdumPKg</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>SUZUKI, SHIGEMITSU</creator><creator>NAKAMURA, KATSUHIKO</creator><creator>TAKAGI, KAZUMI</creator><creator>KASHIKIE, HIDEYUKI</creator><creator>AKAIWA, KEIICHI</creator><general>Kurume University School of Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Aortic Valve Replacement after Previous Coronary Artery Bypass Grafting: A Case Report</title><author>SUZUKI, SHIGEMITSU ; NAKAMURA, KATSUHIKO ; TAKAGI, KAZUMI ; KASHIKIE, HIDEYUKI ; AKAIWA, KEIICHI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4746-998760ff4161d9a9dc6fafa3a47896edcee2b1ead41a47eb3b43a3d7096a03c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aortic Valve - surgery</topic><topic>aortic valve replacement</topic><topic>Aortic Valve Stenosis - diagnosis</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Cardiopulmonary Bypass</topic><topic>Constriction</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Bypass</topic><topic>coronary artery bypass grafting</topic><topic>Heart Arrest, Induced</topic><topic>Heart Valve Prosthesis Implantation</topic><topic>Humans</topic><topic>Male</topic><topic>patent bypass grafts</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SUZUKI, SHIGEMITSU</creatorcontrib><creatorcontrib>NAKAMURA, KATSUHIKO</creatorcontrib><creatorcontrib>TAKAGI, KAZUMI</creatorcontrib><creatorcontrib>KASHIKIE, HIDEYUKI</creatorcontrib><creatorcontrib>AKAIWA, KEIICHI</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Kurume medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SUZUKI, SHIGEMITSU</au><au>NAKAMURA, KATSUHIKO</au><au>TAKAGI, KAZUMI</au><au>KASHIKIE, HIDEYUKI</au><au>AKAIWA, KEIICHI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic Valve Replacement after Previous Coronary Artery Bypass Grafting: A Case Report</atitle><jtitle>Kurume medical journal</jtitle><addtitle>Kurume Med. 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| fulltext | fulltext |
| identifier | ISSN: 0023-5679 |
| ispartof | The Kurume Medical Journal, 2013/05/31, Vol.60(1), pp.29-32 |
| issn | 0023-5679 1881-2090 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese |
| subjects | Aged Aortic Valve - surgery aortic valve replacement Aortic Valve Stenosis - diagnosis Aortic Valve Stenosis - surgery Cardiopulmonary Bypass Constriction Coronary Angiography Coronary Artery Bypass coronary artery bypass grafting Heart Arrest, Induced Heart Valve Prosthesis Implantation Humans Male patent bypass grafts Tomography, X-Ray Computed Treatment Outcome |
| title | Aortic Valve Replacement after Previous Coronary Artery Bypass Grafting: A Case Report |
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