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Ann Thorac Cardiovasc Surg · Apr 2010
Case ReportsOff-pump coronary bypass via left thoracotomy resulting from sternoclavicular arthritis.
- Hiroshi Imagawa, Takahiro Shiozaki, Masahiro Ryugo, Fumiaki Shikata, Tatsuhiro Nakata, Mitsugi Nagashima, and Kanji Kawachi.
- Organ Regenerative Surgery, Ehime University School of Medicine, To-on, Ehime, Japan.
- Ann Thorac Cardiovasc Surg. 2010 Apr 1;16(2):125-7.
AbstractWe report a case of coronary artery bypass grafting through the left thoracotomy in a patient who suffered from sternoclavicular joint infection with methicillin-resistance Staphylococcus aureus. We performed off-pump coronary bypass surgery, using the left internal thoracic artery to the left anterior descending coronary artery and a saphenous vein graft from the aorta to the circumflex artery, with a successful outcome. This approach seems to be safe and effective for coronary bypass grafting in situations where median sternotomy is not favorable, as in the described patient.
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