Simultaneous innominate artery reconstruction along coronary artery bypass grafting and modi-fied left maze procedure (box-lesion+).

Simultaneous innominate artery reconstruction along coronary artery bypass grafting and modified left maze procedure (box-lesion+)

Akchurin R.S., Shiryaev A.A., Galyautdinov D.M., Vlasova E.E., Partigulov S.A.,Cherkashin D.I., Partigulova A.S., Sapelnikov O.V., Kurbanov S.K., Nikolayeva O.A., Vasiliev V.P., Shogenov M.A., Fedotenkov I.S.

Purpose. To demonstrate the evidence of advantages of computed tomography (CT) in the di-agnosis of coronary artery and innominate artery stenoses in perioperative period of surgical intervention Materials and methods. The 66 years old man was admitted with angina and chronic upper limb arterial ischemia. Three-vessel and left main disease, subocclusive ostial innomi-nate artery stenosis and persistent atrial fibrillation were detected. Results. We present advantages of contrast-enhanced CT-angiography in diagnosis of coronary arteries and aortic arch branches atherosclerosis. There were demonstrated the abilities of CT-angiography in the assessment of surgical treatment. Conclusion. The presence of сoncomitant innominate artery significant stenosis and coronary artery disease with atrial fibrillation is a rare condition. There is no consensus statement about surgical strategy. We present here a clinical case of successful simultane-ous coronary artery bypass grafting with innominate artery reconstruction and left atrial maze procedure. Contrast-enhanced CT-angiography is optimal method in diagnosis of coro-nary arteries and aortic arch branches atherosclerosis.

National Mediсal Research Center of Cardiology. Moscow, Rus-sia

Keywords: innominate artery reconstruction, coronary artery bypass grafting, Maze procedure, CT.

Corresponding author:Kurbanov S.K., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

For citation: Akchurin R.S., Shiryaev A.A., Galyautdinov D.M., Vlasova E.E., Partigulov S.A., Cherkashin D.I., Partigulova A.S., Sapelnikov O.V., Kurbanov S.K., Nikolayeva O.A., Vasi-liev V.P., Shogenov M.A., Fedotenkov I.S. Simultaneous innominate artery reconstruction along coronary artery bypass grafting and modified left maze procedure (box-lesion+). REJR 2018; 8 (3):279-286. DOI:10.21569/2222-7415-2018-8-3-279-286.

Received:29.07.18Accepted:16.08.18