Surgical treatment of a patient with an isolated single coronary artery and ischemic heart disease

  • Hayashi Hiroki
    Department of Cardiovascular Surgery, Maebashi Red Cross Hospital
  • Mori Hideaki
    Department of Cardiovascular Surgery, Maebashi Red Cross Hospital

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  • 単冠動脈の3枝病変に対してCABGを行った1例

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An 84-year-old man presented to our hospital with congestive heart failure. Coronary angiography was performed that indicated single coronary artery and the complicated triple vessel disease. The angiography showed that the coronary artery originated from a single ostium in the right sinus of Valsalva, and divided into 3 branches: the right coronary artery, left anterior descending (LAD) artery, and left circumflex artery (LCA). The coronary artery did not branch out into the left main. The LAD was anterior to the great vessels, whereas the LCA passed alongside the great vessels. We performed an on-pump beating-heart coronary artery bypass grafting, and his postoperative course was uneventful.

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