Failed Depiction of Patent Bypass Graft Due to Presence of Large Lateral Costal Artery
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概要
- 論文の詳細を見る
We report a rare case of failed depiction of a patent right internal thoracic artery (RITA) to left anterior descending artery (LAD) bypass on 64-slice multidetector row computed tomographic (MDCT) angiography due to the presence of a large lateral costal artery. A 66-year-old male with acute coronary syndrome due to triple vessel disease underwent urgent coronary artery bypass grafting, in which bilateral ITA and saphenous vein grafts were used. Postoperative MDCT angiography showed an occluded RITA-LAD bypass, which was eventually shown to be patent by angiography. Angiography also revealed a large lateral costal artery that was considered to affect the flow to the LAD. Thus, coil embolization of the branch was attempted. However, it was abandoned because the patient suffered from severe back and intercostal pain during balloon occlusion of the lateral costal artery. Postoperative MDCT angiography is not always accurate for the assessment of graft patency in patients with large ITA side branches. In addition, embolization is not always possible because occlusion of this large branch may cause severe pain when its size becomes quite large.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
- 2012-06-01
著者
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Sawa Yoshiki
Department Of Cardiovascular Surgery Osaka Graduate School Of Medicine
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Yamaguchi Takahiro
Division Of Cardiovascular Surgery Osaka University Graduate School Of Medicine:department Of Surger
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Sakata Y
Center For Advanced Medical Engineering And Informatics Osaka University
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Seino Yoshihiko
Cardiovascular Center Chiba-hokusoh Hospital Nippon Medical School
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Sasako Yoshikado
Department Of Cardiovascular Surgery Osaka University
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Suzuki Yuichirou
日本医科大学千葉北総病院 集中治療室
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Sakata Y
Cardiovascular Center Chiba-hokusoh Hospital Nippon Medical School
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Sakata Yasushi
大阪大学 医学系研究科循環器内科学
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Sakata Yasushi
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine
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Sawa Yoshiki
桜橋渡辺病院 心臓血管外科
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Saito Shunsuke
Division Of Cardiovascular Surgery Department Of Surgery Osaka University Graduate School Of Medicin
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MIYAGAWA Shigeru
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine
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Miyagawa Shigeru
Division Of Cardiovascular Surgery Department Of Surgery Osaka University Graduate School Of Medicin
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Miyagawa Shuji
大阪大学 医学系研究科外科学講座心臓血管外科学
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Suematsu Yoshihiro
Department of Cardiothoracic Surgery
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Seino Yoshihiko
First Department Of Internal Medicine Nippon Medical School
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Yoshikawa Yasushi
Division Of Cardiovascular Surgery Department Of Surgery Osaka University Graduate School Of Medicin
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Yoshikawa Yasushi
Department Of Biological Science And Technology Tokyo University Of Science
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Suzuki Y
Protect (prospective Trial Of Cardioprotective Effect Of Carperitide Treatment) Study Group
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Seino Yoshihiko
Protect (prospective Trial Of Cardioprotective Effect Of Carperitide Treatment) Study Group
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Yokoyama Shinichiro
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Sakaguchi Taichi
Department Of Cardiovascular Surgery Mitsui Memorial Hospital
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Sawa Yoshiki
Department Of Cardiovascular Medicine Osaka University Graduate School Of Medicine
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Fukushima Satsuki
Department Of Cardiovascular Surgery National Cardiovascular Center
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Nishi Hiroyuki
Department Of Anesthesiology Faculty Of Medicine University Of The Ryukyus
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Sawa Yoshiki
Division Of Cardiovascular Surgery Department Of Surgery Osaka University Graduate School Of Medicin
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Sawa Yoshiki
Department Of Cardiovascular Surgery
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Sawa Yoshiki
Division Of Cardiovascular Surgery Department Of Surgery Osaka University Graduate School Of Medicin
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Seino Yoshihiko
日本医科大学 内科学第1
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Sumitsuji Satoru
Departmane Of Cardiology Rinku General Hospital
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Shirakawa Yukitoshi
Department Of Cardiovascular Surgery Osaka University Graduate School Of Medicine
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Seino Yoshihiko
Department Of Internal Medicine And Cardiovascular Center Nippon Medical School Chiba-hokusoh Hospit
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Fukushima Satsuki
Division Of Cardiovascular Surgery Department Of Surgery Osaka University Graduate School Of Medicine
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Selno Yoshihiko
The First Department Of Internal Medicine Nippon Medical School
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Kawamura Masashi
Department Of Cardiovascular Surgery Graduate School Of Medicine Osaka University
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Yamauchi Takashi
Department Of Cardiovascular Surgery Sakurabashi Watanabe Hospital
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Takahashi Atsushi
Department Of Geriatric Medicine And Nephrology Osaka University Graduate School Of Medicine
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NISHI Hiroyuki
Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine
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