ABSTRACT
In common practice, left internal mammary artery (LIMA) along with great saphanous vein is used in coronary artery bypass grafting (CABG). Day by day total arterial CABG specially use of bilateral mammary arteries are becoming demanding. Coexisting occlusive disease may rarely affect coronary arteries along with left subclavian artery. We have reported a successful concomitant aorto-axillary bypass and CABG of a 52-year-aged man with the diagnosis of triple-vessel-disease (TVD) angiographically along with proximal stenosis in left subclavian artery. Aorto-axillary (left) bypass was done with 6-mm ring re-inforced polytetrafluoroethane (PTFE) graft and CABG was done by total arterial RIMA-LIMA “Y” graft on beating heart. The post-operative course was uneventful with reappearance of peripheral pulses in left upper extremity. The patient was discharged on the 9th post-operative day.
ABSTRACT
A 42 year old patient, admitted into our hospital for permanent implantation. Implantation of a permanent pacemaker was attempted by the transvenous approach via venous puncture of cephalic vein & subclavian vein on both sides but guide wire failed to pass. Coronary angiogram with cardiac catheterization was done & revealed absence of right superior vena cava and presence of persistant left superior vena cava. Under endotracheal general anesthesia (GA) with limited left thoracotomy epicardial pacemaker was implanted.
ABSTRACT
Conventional treatment of left main coronary artery (LMCA) disease includes coronary artery bypass graft (CABG) and more recently, in selective indications, percutaneous coronary intervention (PCI). Direct surgical patch angioplasty of the LMCA using fresh autologous pericardium, saphenous vein, or mammary artery patch can be proposed as an alternative treatment. We have successfully operated one patient with surgical angioplasty for isolated ostial left main coronary stenosis at National Heart Journal.
ABSTRACT
Surgical ventricular restoration (SVR) is a surgical procedure developed in an attempt to reverse the negative remodeling that occurs following myocardial infarction. SVR has evolved from a treatment for ventricular aneurysms and has become a treatment of ischemic heart failure.SVR procedure is usually performed after coronary artery bypass grafting (CABG) and may proceed or be followed by mitral valve repair or replacement. This article will review the procedure.