Aortic valve replacement in patients with patent coronary grafts poses many challenges. Intraoperative myocardial protection remains one of the key technical issues in these redo cases. We present a case of aortic valve replacement with patent bilateral internal thoracic artery grafts, using cross-clamp fibrillation.
1 Odell JA Mullany CJ Schaff HV Orszulak TA Daly RC Morris JJ . Aortic valve replacement after previous coronary artery bypass grafting. Ann Thorac Surg1996; 62: 1424–1430.
2.
2 Fighali SF Avendano A Elayda MA . Early and late mortality of patients undergoing aortic valve replacement after previous coronary artery bypass graft surgery. Circulation1995; 92: II163–II168.
3.
3 Gillinov AM Casselman FP Lytle BW . Injury to a patent left internal thoracic artery graft at coronary reoperation. Ann Thorac Surg1999; 67: 382–386.
4.
4 Fuzellier JF Metz D Poncet A Saade YA . Endovascular control of patent internal thoracic artery graft in aortic valve surgery. Ann Thorac Surg2005; 79: e17–e18.
5.
5 Byrne JG Karavas AN Filsoufi F . Aortic valve surgery after previous coronary artery bypass grafting with functioning internal mammary artery grafts. Ann Thorac Surg2002; 73: 779–784.
6.
6 Savitt MA Singh T Agrawal S Choudhary A Chaugle H Ahmed A . A simple technique for aortic valve replacement in patients with a patent left internal mammary artery bypass graft. Ann Thorac Surg2002; 74: 1269–1270.
7.
7 Grandmougin D Delolme MC Derouck D . Surgical options for beating-heart aortic valve replacement in patients with patent coronary artery bypass. J Heart Valve Dis2007; 16: 235–239.
8.
8 Battellini R Rastan AJ Fabricius A Moscoso-Luduena M Lachmann N Mohr FW . Beating heart aortic valve replacement after previous coronary artery bypass surgery with a patent internal mammary artery graft. Ann Thorac Surg2007; 83: 1206–1209.
9.
9 Raco L Mills E Millner RJ . Isolated myocardial revascularization with intermittent aortic cross-clamping: experience with 800 cases. Ann Thorac Surg2002; 73: 1436–1439; discussion 1439-1440.
