PMID: 8037564Jul 1, 1994Paper

Five-year follow-up of microsurgical multiple internal thoracic artery grafts

The Annals of Thoracic Surgery
G E GreenJ Schwanede

Abstract

In a consecutive series of 143 patients requiring multiple coronary artery bypass grafts, 317 of 441 anastomoses (72%) were constructed from internal thoracic arteries. Of these 143 patients, 103 had bilateral, 51 sequential, and 49 free internal thoracic artery grafts. When compared with an earlier series of 494 patients who underwent only one internal thoracic artery anastomosis, the surgical morbidity and mortality were not increased, but, during 5 years of follow-up, the incidences of postoperative angina and myocardial infarction were found to decrease significantly--32.5% versus 10.5% (p < 0.001) and 5.7% versus 1.4% (p < 0.03), respectively. We conclude that, for patients with multivessel disease, multiple internal thoracic artery grafts confer better protection from the clinical manifestations of ischemic heart disease than does one internal thoracic artery graft. The use of high magnification (8 to 12x, surgical microscope) was essential to the success of this method.

References

Apr 1, 1993·The Annals of Thoracic Surgery·G E GreenJ Thornton
Oct 1, 1993·The Annals of Thoracic Surgery·K D AccolaR A Guyton

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Citations

Mar 1, 1996·The Annals of Thoracic Surgery·R M El Oakley, J E Wright
Aug 1, 1996·The Annals of Thoracic Surgery·J H StevensB A Reitz
Oct 13, 1998·The Annals of Thoracic Surgery·M J MackH Shennib
Apr 10, 1999·The Annals of Thoracic Surgery·J M FarinasL C Pelletier
Mar 29, 2000·The Annals of Thoracic Surgery·B El NakadiM Joris
Feb 24, 2001·Journal of the American College of Cardiology·J P IoannidisC E Anagnostopoulos
Apr 8, 1998·Journal of the American College of Cardiology·R G Favaloro
Apr 18, 1998·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·D F Del RizzoB S Goldman
Jan 25, 1996·The New England Journal of Medicine·A CameronH V Schaff
Jan 1, 1996·Journal of Cardiac Surgery·D F Del RizzoB S Goldman
Jul 22, 2014·Journal of Cardiac Surgery·Roland AssiSabet W Hashim
Dec 15, 2005·Heart, Lung & Circulation·Shahzad Gull RajaHaider Zaman
Mar 1, 2005·Seminars in Cardiothoracic and Vascular Anesthesia·Linda Shore-Lesserson
Jun 29, 2018·Khirurgiia·Yu V BelovG I Salagaev
Feb 23, 2019·Khirurgiia·S A AlsovV R Tsirikhov

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