Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259
Turkish Journal of Vascular Surgery 2015 , Vol 24 , Issue 1
Off-Pump Coronary Artery Bypass and Ascending Aorta-to-Left Carotid Artery Bypass with a Median Sternotomy Incision
Murat GÜNDAY,Mehmet ÖZÜLKÜ
1Kalp ve Damar Cerrahisi AD, Başkent Üniversitesi Tıp Fakültesi, Ankara DOI : 10.9739/uvcd.2013-37460 A 70-year-old male patient complaining of dizziness, shortness of breath, and chest pa- in was admitted to the our hospital. Coronary angiography showed severe stenosis in the left ante- rior descending artery, right descending coronary artery and circumflex coronary artery. In the routine preoperative examination, severe proximal common carotid artery stenosis was detected on the computerized tomography. A median sternotomi was performed under general anesthesia. Ascending aorta-to-left carotid artery bypass was done with a 6-mm polytetrafluoroethylene graft, and left internal mammarian artery-left anterior desending artery, aorta-saphenous vein-right co- ronary artery bypass graftings were performed with off-pump technique. We suppose that a medi- an sternotomy is beneficial and since it does not require an additional incision and the low risk of wound infection in proximal carotid stenosis. Keywords : Artery disease; PTFE; aortic carotid bypass; stenosis