Off-pump Reoperative Coronary Artery Bypass by Thoracotomy and Laparotomy -A case report -

개흉술과 복부 절개술을 통한 심폐바이패스를 이용하지 않은 관상동맥 재수술 - 1예 보고 -

  • Kim Jeong-Won (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hahm Shee-Young (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Je Hyoung-Gon (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Cho Won-Chul (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Song Meong-Gun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 김정원 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 함시영 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 제형곤 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 조원철 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 송명근 (울산대학교 의과대학 서울아산병원 흉부외과학교실)
  • Published : 2006.09.01

Abstract

The incidence of reoperative coronary artery bypass grafting (CABG) has increased because of the rise in the number of patients who have undergone initial CABG. In addition, recent technological advances have resulted in widespread application of off pump coronary artery bypass (OPCAB). We report a case of redo OPCAB through thoracotomy and small laparotomy in 76-year-old man with recurrent unstable angina.

관상동맥우회술을 시행 받은 환자가 많아지면서 관상동맥 재수술의 빈도도 증가하고 있다. 또한 기술적인 발전으로 인하여 심폐바이패스 없이 시행하는 관상동맥우회술도 늘고 있다. 저자들은 관상동맥 우회술 후 재발된 76세 불안정성 협심증 환자에게 좌측 개흉술 및 상복부 절개술을 통한 관상동맥재수술을 시행하여 만족스러운 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

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