Razavi Journal of Medicine

Razavi Journal of Medicine

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

Document Type : Case Report/Series

Authors
Hamid Hoseinikhah 1
Babak Manafi 2
Ahmadreza Zarifian 3
Mohammad Sobhan Sheikh Andalibi 3
Yasamin Moeinipour 4
Aliasghar Moeinipour 1
1 Assistant Professor of Cardiovascular Surgery, Atherosclerosis Prevention Research Center, ImamReza Hospital,Mashhad University of Medical Sciences,Mashhad, Iran
2 Assistant Professor of Cardiovascular Surgery, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
3 Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4 Medical Student, Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad, Iran
10.30483/rijm.2016.118390
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.
Keywords
AORTIC ANEURYSM
Aortic Insufficiency
Cardiac Surgery
Coronary
Coronary Artery Bypass

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

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Razavi Journal of Medicine
Volume 4, Issue 4
Autumn 2016
Pages 1-4