Off Pump Long-Onlay-Patch Angioplasty to the LAD Using the Left Internal Mammary Artery
AbstractSurgical treatment for diffusely diseased coronary arteries has been considered to be a relative contraindication for off pump coronary artery bypass (OPCAB) grafting. We report a case of off pump long-onlay-bypass grafting using the left internal mammary artery. To our knowledge, the long-onlay-patch grafting with OPCAB technique has not been previously described. Two sets of Octopus-3 tissue stabilizers were placed longitudinally along the target coronary artery (Double-Octopus technique). This technique allowed us to performed surgical angioplasty and bypass grafting without cardiopulmonary bypass support. Patients with severe diffuse coronary lesions who are at high risk for cardiopulmonary bypass will benefit from this technique.
Barra JA, Bezon E, Mondine P, Resk A, Gilard M, Boshat J. 2000. Coronary artery reconstruction for extensive coronary disease: 108 patients and two year follow-up. Ann Thorac Surg 70:1541-5.nJansen EW, Borst C, Lahpor JR, et al. 1998. Coronary artery bypass grafting without cardiopulmonary bypass using the octopus method: results in the first one hundred patients. J Thorac Cardiovasc Surg 116:60-7.n