Successful Total Arterial Revascularization Surgery [At Lilavati Hospital]

Dr. Pavan Kumar, Dr. S Borkar, Dr. Amit Modi, Dr. N Kothari, Dr.Asmita Hegde

Department Of Cardiac Surgery

A 50 year old parsi gentlemen, non hypertensive and non Diabetic, was admitted in Lilavati Hospital with symptoms of chest pain and heaviness after food.
He had no past history of IHD / Stroke / TIA / Epilepsy and had no addictions.

CLINICAL FEATURES: (O / E)
Lean patient with unremarkable general and systemic examination.

INVESTIGATIONS:
We investigated him by doing a T. M. T. which was positive for ischemia and subsequently a coronary angiography. Coronary angiography revealed severe Triple vessel coronary artery disease with a well preserved Left ventricular function.
Routine blood investigations were done as a part of our pre operative protocol which was within normal limits. (G6PD enzyme assay was also done and activity was normal)

OPERATIVE PROCEDURE :
Patient was prepared and electively taken up for CABG after 5 days.
Total arterial revascularization of coronary arteries was done.
Graft Details :

LIMA – LAD
RADIAL – OM
RIMA – PDA

Patient was shifted to SICU in a hemodynamically stable condition. His ICU stay was uneventful and was transferred to the ward on Post operativeDay 2 from where he was discharged home on the 7th post op day.

The patient followed up with us after 3 months. He was asymptomatic. We carried out a modified Bruce TMT on the patient [ as a part of regular post – operative protocol] which was negative for Inducible ischemia.

This demonstrates successful arterial CABG which is current trend in open heart surgery.