Bentall Procedure with Concomitant Coronary-Coronary Bypass for Right Coronary Artery Stenosis: A Case Report

Authors

1 Student Research Committee, Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad, Iran

2 Medical Student, Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad, Iran

3 Assistant Professor of Cardiovascular Surgery, Atherosclerosis Prevention Research Center, ImamReza Hospital,Mashhad University of Medical Sciences,Mashhad, Iran

4 Assistant Professor of Cardiovascular Surgery, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran

5 Cardiovascular Research Center, Student Research Committee, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

10.17795/rijm37803

Abstract

Abstract Introduction: Aortic surgery hasmademuch progress recently. Yet the combination of aortic surgery and coronary artery bypass grafting has remained amajor issue for the surgeons. Patient and Observation: Herein, we present a case of severe aortic insufficiency with aortic aneurysm concomitant with single coronary artery disease on the right coronary artery. The patient underwent Bentall procedure for the correction of severe AI and aortic aneurysm. Subsequently, due to the lack of proper site for proximal anastomosis of the saphenous veingraft on the ascending aorta, we decided to performcoronary-coronary artery bypass for the right coronary artery lesion instead of conventional implan- tation of saphenous vein graft on the ascending aorta. Conclusions: Coronary-coronary artery bypass could be performed safely for special conditions like porcelain aorta and when the ascending aorta is not suitable for the proximal saphenous vein graft.

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