4 results match your criteria: "Yokosuka Uwamachi Hospital[Affiliation]"

A 78-year-old man presented with severe stage 3 (Fontaine IV, Rutherford 5, W1 I3 FI0) right limb ischemia. Although his artery was completely occluded from below the right external iliac to the popliteal artery, collateral circulation from the right lateral femoral circumflex artery was well developed and supplied the lower extremity arteries. We selected an uncommon crossover bypass strategy with the left common femoral artery to the right lateral femoral circumflex artery to improve lower extremity perfusion via indirect revascularization.

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Article Synopsis
  • Median sternotomy is the standard method for coronary artery bypass grafting, but in some high-risk cases, alternative approaches may be necessary.
  • The authors describe a case of off-pump coronary artery bypass grafting performed through left anterior thoracotomy in a patient with unstable angina and a complicated medical history, specifically total laryngectomy and tracheostoma.
  • By modifying the surgical technique to extend the incision and resect certain ribs, they successfully accessed the heart without converting to median sternotomy, suggesting this approach could be a viable option for similar patients at risk for surgical complications.
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Complex Cases in Abdominal Wall Repair and Prophilactic Mesh.

Hernia

April 2015

Exeter Surgical Health Services Research Unit (HeSRU), Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

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[EBM and guideline].

Nihon Geka Gakkai Zasshi

June 2003

Japanese Association for Development of Community Medicine, Yokosuka Uwamachi Hospital, Kanagawa, Japan.

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