Abstract
An intracoronary shunt is often used to maintain distal perfusion during off-pump coronary
artery bypass grafting (OPCAB). We report the case of a patient who had acute right coronary
occlusion caused by such a intracoronary shunt as a result of intimal injury to the coronary
artery during off-pump coronary artery bypass grafting.
References
Бокерия Л. А., Беришвили И. И., Сигаев И. Ю. Минимально инвазивная реваскуляризация миокарда. М.: НЦССХ им. А. Н. Бакулева РАМН, 2001. 276 с.
<br>Bergsland J., Lingaas P. S., Skulstad H. et al. Intracoronary shunt prevents ischemia in off-pump coronary artery bypass surgery // Ann. Thorac. Surg. 2009. Vol. 87. Р. 54-60.
<br>Fingerle J., Au Y. P., Clowes A. W., Reidy M. A. Intimal lesion formation in rat carotid arteries after endothelial denudation in absence of medial injury // Arteriosclerosis. 1990. Vol. 10. Р. 1082-1087.
<br>Gurbuz A., Emrecan B., Yilik L. et al. Intracoronary shunt reduces postoperative troponin leaks: a prospective randomized study // Eur. J. Cardiothorac. Surg. 2006. Vol. 29. Р. 186-189.
<br>Hangler H. B., Pfaller K., Antretter H. et al. Coronary endothelial injury after local occlusion on the human beating heart // Ann. Thorac. Surg. 2001. Vol. 71. Р. 122-127.
<br>Hangler H. B., Pfaller K., Ruttmann E. et al. Effects of intracoronary shunts on coronary endothelial coating in the human beating heart // Ann. Thorac. Surg. 2004. Vol. 77. Р. 776-780.
<br>Lucchetti V., Capasso F., Caputo M. et al. Intracoronary shunt prevents left ventricular function impairment during beating heart coronary revascularization // Eur. J. Cardiothorac. Surg. 1999. Vol. 15. Р. 255-259.
<br>Menon A. K., Albes J. M., Oberhoff M. et al. Occlusion versus shunting during MIDCAB: effects on left ventricular function and quality of anastomosis // Ann. Thorac. Surg. 2002. Vol. 73. Р. 1418-1423.
