A61-year-old man with a history of coronary artery aneurysms was referred to our institution for evaluation of dyspnea on exertion. Coronary artery bypass of the aneurysms had been performed 2 years earlier. Although it was reported that the aneurysms had been ligated, coronary angiography revealed large residual aneurysms of the right and left circumflex arteries (top left, Figures 1 and 2), w...

A 43-year-old man, with a past history of hypertension without regular medical control, presented to our hospital with intermittent chest tightness and shortness of breathing about one day. At emergent department, the blood pressure was 180/110 mmHg, and pulse rate was 78 beats per minute. Troponin I was 3.19 ng/ml. EKG showed V1-V4 ST elevation. Coronary angiography showed near total occlusion...

To evaluate the relative long-term improvement in coronary artery hemodynamics after revascularization by coronary artery bypass graft surgery (CABG) or percutaneous transluminal coronary angioplasty (PTCA), regional coronary flow reserve (CFR) was measured, by digital computer analysis of 35 mm cine film, in 50 men undergoing cardiac catheterization. CFR (mean ± SEM) in 12 atherosclerotic arte...

A 53-year-old executive (6 ft 3 in tall; 327 lb) with a history of diabetes mellitus, hypertension, and coronary artery disease (coronary artery angioplasty in 1995) was traveling with his wife on vacation and ran to catch a connecting flight. The plane had closed the doors for takeoff when his wife noted that he was unresponsive. A flight attendant brought out the on-board automatic external d...

Objectives: Data were evaluated to compare hybrid and robotic revascularization procedures with conventional coronary artery bypass grafting for the treatment of multi vessel coronary artery disease. Background: Hybrid coronary revascularization provides an alternative approach to conventional coronary artery bypass graft and percutaneous intervention revascularization therapies. Data comparing...

Aneurysms of saphenous vein graft are a known but rare complication of coronary artery bypass grafting (CABG). In this report, we present a case of a 59-year-old man who presented 16 years after CABG, three aneurysms of the saphenous vein graft to the right coronary artery compressing right atrium but with low symptoms. Transoesophageal echocardiography and CT scan were used to identify the ane...

An emergency off-pump coronary artery bypass (OPCAB) was performed successfully in an aged patient with acute coronary syndrome (ACS). The patient, an 80-year-old woman residing in a nursing home, suddenly lost consciousness during lunch. The electrocardiogram (ECG) showed ventricular fibrillation (Vf) but defibrillation successfully recovered the sinus rhythm. The patient was brought to our ho...