Concomitant Brachiocephalic to Bilateral Subclavian Artery Bypass with Off-Pump Coronary Artery Bypass Grafting

Kayo Sugiyama, Hirotaka Watanuki, Masaho Okada, Yasuhiro Futamura, Yukie Ito, Keijiro Hosokawa and Katsuhiko Matsuyama

Department of Cardiac Surgery, Aichi Medical University Hospital, Japan

^*Correspondance to: Kayo Sugiyama 

 PDF  Full Text DOI: 10.25107/2474-1647.2655

Abstract

It is well known that severe coronary artery disease concomitant with severe cerebrovascular disease is associated with poor long-term survival. The appropriate management of this clinical condition remains controversial because of the difficulty in its treatment strategy. Here we report a case of a patient with severe cerebrovascular diseases and acute coronary syndrome who successfully underwent brachiocephalic artery to bilateral subclavian artery bypass concomitantly with off-pump Coronary Artery Bypass Grafting (CABG). Continuous monitoring of cerebral oxygen saturation and pulsatile flow obtained with off-pump CABG effectively protected the brain.

Keywords

Polyvascular disease; Cerebrovascular disease; Coronary artery disease; Off-Pump coronary artery bypass grafting; Interventional radiology

Cite the article

Sugiyama K, Watanuki H, Okada M, Futamura Y, Ito Y, Hosokawa K, et al. Concomitant Brachiocephalic to Bilateral Subclavian Artery Bypass with Off-Pump Coronary Artery Bypass Grafting. Clin Surg. 2019; 4: 2655..