A Case of Using No-Touch Saphenous Vein Graft in Redo CABG after Multiple Failed Percutaneous Coronary Interventions.
Victor EdinHåkan GeijerPiotr JakuszewskiDomingos S R SouzaPublished in: Brazilian journal of cardiovascular surgery (2022)
The modality of repeat revascularization due to late graft failure is a debated topic. The latest available European guidelines recommend redo coronary artery bypass graft (CABG) for cases of extensively diseased and/or occluded grafts and those with diffuse native vessel disease. We present the case of a patient being relieved of recurrent unstable angina pectoris with redo CABG using no-touch saphenous vein grafts after repeated and unsuccessful attempts with percutaneous coronary intervention (PCI). This could be an alternative to PCI in patients with a complex medical history. Teamwork between cardiologists and surgeons is pivotal in deciding the best treatment modality.
Keyphrases
- coronary artery bypass
- percutaneous coronary intervention
- coronary artery disease
- coronary artery bypass grafting
- st segment elevation myocardial infarction
- acute myocardial infarction
- st elevation myocardial infarction
- antiplatelet therapy
- acute coronary syndrome
- aortic valve replacement
- atrial fibrillation
- coronary artery
- minimally invasive
- quality improvement
- aortic stenosis
- multidrug resistant
- low grade
- physical activity
- ultrasound guided
- case report
- clinical practice
- high grade
- left ventricular
- thoracic surgery