loading page

Novel Off-Pump Coronary Artery Bypass Grafting in Right Coronary Artery Stenosis
  • +3
  • Masafumi Hashimoto,
  • Kenji Mogi,
  • Manabu Sakurai,
  • Kengo Tani,
  • Shuntaro Ito,
  • Yoshiharu Takahara
Masafumi Hashimoto
Funabashi Municipal Medical Center
Author Profile
Kenji Mogi
Funabashi Municipal Medical Center Heart and Vascular Institute
Author Profile
Manabu Sakurai
Funabashi Municipal Medical Center
Author Profile
Kengo Tani
Funabashi Municipal Medical Center Heart and Vascular Institute
Author Profile
Shuntaro Ito
Funabashi Municipal Medical Center
Author Profile
Yoshiharu Takahara
Author Profile

Abstract

A 77-year-old man with diabetes, dyslipidemia, and a smoking history presented with asymptomatic gross hematuria and left hydronephrosis. Computed tomography (CT) angiography revealed a left ureteral tumor and abdominal aortic aneurysm. Cardiac catheterization revealed right coronary artery (RCA) stenosis. First, a left nephroureterectomy was performed via a midline abdominal incision. To achieve minimal invasiveness, a median sternotomy was avoided, and off-pump coronary artery bypass grafting of the RCA was performed with the great saphenous vein graft, using the left renal artery as the graft inflow. Y-grafting was subsequently performed. Without any postoperative complications, CT angiography confirmed graft patency. This procedure has potential use for removing ureteral tumors by surgeons and clinicians in clinical settings.

Peer review status:ACCEPTED

27 Aug 2020Submitted to Journal of Cardiac Surgery
27 Aug 2020Submission Checks Completed
27 Aug 2020Assigned to Editor
27 Aug 2020Reviewer(s) Assigned
27 Aug 2020Review(s) Completed, Editorial Evaluation Pending
27 Aug 2020Editorial Decision: Revise Minor
08 Sep 20201st Revision Received
09 Sep 2020Submission Checks Completed
09 Sep 2020Assigned to Editor
09 Sep 2020Review(s) Completed, Editorial Evaluation Pending
09 Sep 2020Editorial Decision: Accept