Severe Coronary Artery Disease With Coarctation of the Aorta: Role of Off-Pump Coronary Artery Bypass Grafting

Severe coronary artery disease with coarctation of the aorta is an unusual and challenging clinical problem. We encountered three adults with severe coronary artery disease and tight coarctation of the aorta. Since angina was the dominant symptom in all, off-pump coronary artery bypass grafting (OPC...

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Veröffentlicht in:	The Annals of thoracic surgery 2005, Vol.79 (1), p.343-345
Hauptverfasser:	Balakrishnan, Komarakshi R., Thanikachalam, Sadagopan, Murthy, Jayanthi Satyanarayana, Saldanha, Richard, Jayarajah, Mariappan
Format:	Artikel
Sprache:	eng
Schlagworte:	Angina Pectoris - etiology Aortic Coarctation - complications Aortic Coarctation - surgery Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis Implantation Cardiology. Vascular system Coronary Artery Bypass, Off-Pump - methods Coronary Disease - complications Coronary Disease - surgery Coronary heart disease Diseases of the aorta Female Heart Humans Hypertension - complications Male Medical sciences Middle Aged Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Thoracotomy - methods Treatment Outcome Ventricular Dysfunction, Left - etiology Ventricular Dysfunction, Left - surgery
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Zusammenfassung:	Severe coronary artery disease with coarctation of the aorta is an unusual and challenging clinical problem. We encountered three adults with severe coronary artery disease and tight coarctation of the aorta. Since angina was the dominant symptom in all, off-pump coronary artery bypass grafting (OPCABG) was done as a first stage. All survived the operation. After a gap of 3 weeks, coarctation repair has been done in 1 patient. We believe that OPCABG offers some unique advantages in this difficult situation.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2003.08.069