Combined innominate artery reconstruction and coronary artery bypass grafting

Chung Ben Kan, Chun Che Shih, Jason Chang, Shiau Ting Lai

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Two patients having significant coronary artery disease with innominate artery near-total occlusion presented neurological deficit of syncope events or cerebellar and brain stem infarct. Both of them were successfully treated with one-stage reconstruction combined with aorto-carotid-subclavian bypass and coronary artery bypass grafting (CABG). While it could not be over-emphasized how to protect both myocardium and cerebrum during CABG, cerebral perfusion through the reconstructed carotid bypass graft is the key maneuver during cardiac arrest and moderate hypothermia. Hypoperfused cerebral hemispheres were both improved extensively in the follow-up angiography. The absence of cerebral deficit and the free from coronary angina suggested that surgical technique to combine innominate with coronary artery surgery is feasible with acceptable mortality and morbidity rate.

Original languageEnglish
Pages (from-to)641-646
Number of pages6
JournalChinese Medical Journal (Taipei)
Volume64
Issue number11
Publication statusPublished - Dec 1 2001
Externally publishedYes

Fingerprint

Brachiocephalic Trunk
Cerebrum
Coronary Artery Bypass
Subclavian Artery
Syncope
Heart Arrest
Hypothermia
Brain Stem
Coronary Artery Disease
Coronary Vessels
Myocardium
Angiography
Perfusion
Morbidity
Transplants
Mortality

Keywords

  • Atherosclerosis
  • Brachiocephalic trunk
  • Coronary artery bypass

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Combined innominate artery reconstruction and coronary artery bypass grafting. / Kan, Chung Ben; Shih, Chun Che; Chang, Jason; Lai, Shiau Ting.

In: Chinese Medical Journal (Taipei), Vol. 64, No. 11, 01.12.2001, p. 641-646.

Research output: Contribution to journalArticle

Kan, Chung Ben ; Shih, Chun Che ; Chang, Jason ; Lai, Shiau Ting. / Combined innominate artery reconstruction and coronary artery bypass grafting. In: Chinese Medical Journal (Taipei). 2001 ; Vol. 64, No. 11. pp. 641-646.
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