Bilateral surgical coronary ostial angioplasty with a superficial femoral artery patch in Takayasu aortitis Hirokuni Arai, MD, Tetsuya Yoshida, MD, Satoru.

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Presentation transcript:

Bilateral surgical coronary ostial angioplasty with a superficial femoral artery patch in Takayasu aortitis Hirokuni Arai, MD, Tetsuya Yoshida, MD, Satoru Hasegawa, MD, Makoto Sunamori, MD The Journal of Thoracic and Cardiovascular Surgery Volume 124, Issue 4, Pages 845-847 (October 2002) DOI: 10.1067/mtc.2002.125643 Copyright © 2002 Mosby, Inc. Terms and Conditions

Fig. 1 Preoperative coronary angiograms show stenoses of orifices of LCA (90%) and RCA (50%). The Journal of Thoracic and Cardiovascular Surgery 2002 124, 845-847DOI: (10.1067/mtc.2002.125643) Copyright © 2002 Mosby, Inc. Terms and Conditions

Fig. 2 After complete transection of ascending aorta, V-shaped resection of aortic wall was made immediately above LMT orifice, and aortotomy was extended in straight line to roof of LMT. SFA patch was sutured with running monofilament suture (top). Rectangular SFA patch was sutured to create curtain fold that arched over roof of coronary artery takeoff, as indicated by matching of a with a', b with b', c with c', and d with d' (middle). Bilateral surgical coronary ostial angioplasty was completed with SFA patches, ensuring sufficient ostial orifice flow without kinking of patches (bottom). Ao, Aorta; PA, pulmonary artery; RCAO, RCA ostium. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 845-847DOI: (10.1067/mtc.2002.125643) Copyright © 2002 Mosby, Inc. Terms and Conditions

Fig. 3 Postoperative coronary angiograms show enlarged coronary ostia with excellent blood flow. Arrowheads indicate SFA patch. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 845-847DOI: (10.1067/mtc.2002.125643) Copyright © 2002 Mosby, Inc. Terms and Conditions