Off-pump coronary artery bypass grafting in an early-teen patient with aortitis syndrome
Kumagai, K.; Kin, H.; Mukaida, M.; Oyama, K.; Takahashi, S.; Sato, Y.; Okabayashi, H.
Kyobu Geka. Japanese Journal of Thoracic Surgery 63(6): 466-469
2010
ISSN/ISBN: 0021-5252 PMID: 20533738 Document Number: 645500
A 14-year-old girl was admitted to our hospital with a history of syncope and chest pain on exercise. Multi-slice coronary computed tomography (CT) demonstrated ostial stenosis of the left main trunk as well as wall thickening in the ascending aorta. Magnetic resonance imaging (MRI) also showed occlusion of the left carotid artery. She was diagnosed as having angina pectoris caused by aortitis syndrome. We performed off-pump coronary artery bypass grafting (OPCAB) with the left internal thoracic artery to the left anterior descending artery. The postoperative course was uneventful and coronary CT demonstrated good graft patency. We herein report successful OPCAB in a patient with left coronary main trunk ostial stenosis with aortitis syndrome.