Work

Minimally Invasive Redo Coronary Artery Bypass to Right Coronary Artery With Right Gastroepiploic Artery

Year: 2025

Type: article

Abstract: Redo coronary artery bypass grafting (redo CABG) is a challenging procedure because surgical access must be reestablished, patent grafts must be preserved, and arterial graft selection is limited. We managed the case of a 58-year-old man with a history of prior CABG and end-stage renal disease in whom non-ST-segment elevation myocardial infarction developed as a result of severe in-stent restenosis of the mid right coronary artery. Coronary angiography demonstrated patent grafts, including left internal mammary to left anterior descending. To mitigate redo CABG risks, this patient underwent a sternotomy-sparing, off-pump, redo CABG by a gastroepiploic artery to posterior descending artery anastomosis through a minimally invasive subxiphoid approach.

Source: Annals of Thoracic Surgery Short Reports

DOI: 10.1016/j.atssr.2025.04.024

Authors: Abel Cherian, Alexander Ryan, Yash Rohilla, Kevin Wang, Chidiebere Peter Echieh, Toshinobu Kazui

Institutions: University of Arizona, Banner - University Medical Center Tucson

Language: English

Topic: Cardiac and Coronary Surgery Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975