AI Article Synopsis
- The text discusses the complexities surrounding myocardial protection during a second open-heart surgery after previous coronary artery bypass grafting, particularly with a functioning left internal thoracic artery graft.
- It presents a specific case where a patient underwent aortic valve replacement 18 months post-coronary revascularization, showcasing a unique surgical approach.
- The procedure included beating-heart techniques, continuous retrograde coronary sinus perfusion, and carefully preserving existing grafts without dissection.
Article Abstract
Myocardial protection in patients requiring a second open-heart surgical procedure after coronary artery bypass grafting, especially when there is a patent left internal thoracic artery graft to the left anterior descending coronary artery, remains controversial. We present the case of a patient in whom aortic valve replacement was undertaken 18 months after coronary artery revascularization. Unusual features included beating-heart aortic valve replacement with continuous retrograde coronary sinus perfusion and avoidance of dissection of the patent grafts, including the left internal thoracic artery and a saphenous vein graft.
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| http://dx.doi.org/10.1016/S0003-4975(03)01170-6 | DOI Listing |
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