PMID: 11899181Mar 20, 2002Paper

Aortic valve surgery after previous coronary artery bypass grafting with functioning internal mammary artery grafts

The Annals of Thoracic Surgery
John G ByrneSary F Aranki

Abstract

Aortic valve surgery after coronary artery bypass grafting (CABG) in the setting of patent pedicled internal mammary artery (IMA) grafts poses a high risk because of the underlying ischemic and valve disease. Unlike mitral valve surgery or CABG, in which aortic clamping (AoX) may be optional, aortic valve surgery uniformly requires AoX unless circulatory arrest is used. Management of the IMA graft in these circumstances has traditionally involved dissection and clamping to prevent regional myocardial warming and cardioplegia "washout" during AoX. An alternative strategy involves avoiding dissection of the IMA, leaving the IMA graft open and establishing moderate-to-deep hypothermia during AoX and cardioplegic arrest. To date, no study has been published documenting the safety and efficacy of the latter practice. A total of 94 patients who had patent IMA graft and underwent aortic valve surgery under AoX and cardioplegia between April 1992 and March 2001 were analyzed. The IMA was avoided and left open during AoX, and the patients were cooled systemically (median 20 degrees C). Patients ranged in age from 55 to 90 years (median 73.5 years). Ejection fraction was 15% to 83% (median 50%). Of the patients, 18 (19%) underwent minima...Continue Reading

References

Sep 1, 1985·The Annals of Thoracic Surgery·R G BaillotB W Lytle
Jan 1, 1988·Scandinavian Journal of Thoracic and Cardiovascular Surgery·T S IvertR Welti
Jan 2, 1986·The New England Journal of Medicine·F D LoopW C Sheldon
Apr 1, 1984·The Annals of Thoracic Surgery·A R Dobell, A K Jain
Mar 1, 1994·Journal of Cardiac Surgery·J J Collins, S F Aranki
Nov 1, 1993·Journal of Cardiac Surgery·K J ZehrD E Cameron
Jun 1, 1996·The Annals of Thoracic Surgery·S J HoffH W Bender
Nov 1, 1996·The Annals of Thoracic Surgery·J A OdellJ J Morris
Oct 6, 1997·The Annals of Thoracic Surgery·T M SundtW A Gay
Apr 10, 1999·The Annals of Thoracic Surgery·A M GillinovD M Cosgrove
Apr 30, 1999·The Journal of Thoracic and Cardiovascular Surgery·B W LytleD M Cosgrove
Jan 5, 2000·The Annals of Thoracic Surgery·J G ByrneL H Cohn
Sep 6, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J G ByrneL H Cohn

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Citations

Apr 29, 2006·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Masato NakajimaKaori Kato
Dec 1, 2007·General Thoracic and Cardiovascular Surgery·Hitoshi InafukuSoichiro Kitamura
Apr 3, 2013·General Thoracic and Cardiovascular Surgery·Junjiro Kobayashi
Jan 14, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Chan B ParkThoralf M Sundt
May 9, 2003·The Annals of Thoracic Surgery·Erkan KuralayHarun Tatar
Jun 26, 2003·The Annals of Thoracic Surgery·Ram SharonyStephen B Colvin
Feb 5, 2004·The Annals of Thoracic Surgery·Takashi UedaShigeki Taniguchi
Jan 6, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hunaid A VohraGeoffrey M K Tsang
Feb 22, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Augusto D'OnofrioUNKNOWN , on behalf of the I-TA investigators
Apr 13, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Nikola DobrilovicArun K Singh
May 9, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gonçalo S PaupérioManuel J Antunes
Apr 18, 2007·Cardiology in Review·Edward G Soltesz, Lawrence H Cohn
Aug 21, 2004·Annals of Surgery·Tomislav MihaljevicJohn G Byrne
Dec 31, 2004·The Journal of Trauma·Daniel ColmanAlexandre K da Silva
Apr 17, 2010·Interactive Cardiovascular and Thoracic Surgery·Hironobu MorimotoHideyuki Uesugi
Apr 14, 2010·Interactive Cardiovascular and Thoracic Surgery·Tomoyuki FujitaKoichi Toda
Jul 24, 2013·The Kurume Medical Journal·Shigemitsu SuzukiKeiichi Akaiwa
Jan 1, 2011·Annals of Vascular Diseases·Satoshi YamashiroRyoko Arakaki
Sep 23, 2014·General Thoracic and Cardiovascular Surgery·Kazuo Tanemoto, Hiroshi Furukawa
Oct 24, 2006·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·W G DanielF A Flachskampf
Feb 4, 2016·The Canadian Journal of Cardiology·Aly GhoneimDenis Bouchard
Aug 25, 2012·The Journal of Thoracic and Cardiovascular Surgery·Tsuyoshi KanekoLawrence H Cohn
Apr 13, 2010·Journal of Cardiothoracic and Vascular Anesthesia·Brian WhangRamachandra C Reddy
Mar 5, 2009·The Journal of Thoracic and Cardiovascular Surgery·Elias BalarasJames S Gammie
Aug 29, 2016·Seminars in Thoracic and Cardiovascular Surgery·Eduard QuintanaAlberto Pochettino
Nov 28, 2015·Journal of Cardiothoracic Surgery·Marc NajjarMathew R Williams
Dec 6, 2011·Journal of Cardiac Surgery·Giuseppe M RaffaGiuseppe Tarelli
May 28, 2014·Journal of Cardiac Surgery·Robert A SorabellaIsaac George
Feb 1, 2005·The Annals of Thoracic Surgery·Jean-François G FuzellierYves-Assad Saade
Dec 31, 2008·The Journal of Thoracic and Cardiovascular Surgery·Minoru TabataLawrence H Cohn
Sep 1, 2004·The Annals of Thoracic Surgery·Hitoshi HiroseBruce W Lytle
Aug 25, 2006·The Annals of Thoracic Surgery·Attilio A Lotto, W Andrew Owens
Apr 25, 2006·The Annals of Thoracic Surgery·James S GammieBartley P Griffith
Dec 22, 2005·The Annals of Thoracic Surgery·Eric BezonJean A Barra
Feb 20, 2007·The Annals of Thoracic Surgery·Roberto BattelliniFriedrich Wilhelm Mohr
Oct 27, 2009·The Annals of Thoracic Surgery·Manuel Galiñanes, Andrej Sosnowski
Nov 20, 2008·Journal of Cardiac Surgery·Tharumenthiran RamanathanFrederick Y Chen
Jun 21, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Tiffany PattersonThoralf M Sundt
Jun 26, 2007·The Annals of Thoracic Surgery·Minoru TabataPrem S Shekar
Aug 29, 2007·The Journal of Thoracic and Cardiovascular Surgery·Lars G SvenssonBruce W Lytle
Oct 19, 2010·The Journal of Thoracic and Cardiovascular Surgery·Chan B ParkThoralf M Sundt

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