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CASE STUDIES

Extraanatomic Bypass and Coronary Artery Grafting for Coral Reef Aorta

Takaki Sugimoto, MD, Noriko Omura, MD, Takashi Kitade, MD

Department of Surgery, Hyogo Prefectural Awaji Hospital, Sumoto, Japan

Takaki Sugimoto, MD, Tel: +81 799 22 1200; Fax: +81 799 24 5704, Email: sugimoto{at}awaji-hosp.sumoto.hyogo.jp, 1-6-6 Shimokamo, Sumoto, 656-0013, Japan

A 63-year-old man complained of abdominal angina and intermittent claudication. Multidimensional angiography showed focal calcified obstruction of the suprarenal aorta, occlusion of the right external iliac artery, and instent restenosis in the right coronary artery. Extraanatomic bypass was performed from the ascending aorta to the left external iliac and right femoral arteries, using an 8-mm bifurcated graft, with concomitant off-pump coronary artery grafting. The patient’s digestive symptoms and leg claudication disappeared.

Key Words: Aorta • Artherosclerosis • Blood Vessel Prosthesis Implantation • Coronary Artery Bypass

Asian Cardiovasc Thorac Ann 2009; 17:183-185
© 2009 by SAGE Publications
DOI: 10.1177/0218492309103310




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