PMID: 8957380Dec 1, 1996Paper

Intermediate clinical results of combined gastroepiploic and internal thoracic artery bypass

The Annals of Thoracic Surgery
T IsomuraH Maruyama

Abstract

To improve the postoperative results of coronary artery bypass grafting (CABG), the internal thoracic artery (ITA) has become the conduit of choice, with a low operative risk. The gastroepiploic artery as a third arterial conduit for grafting was first reported in 1987, and the early results were reported to be as good as those for the ITA graft. In this report, we present the intermediate-term results of combining ITA and gastroepiploic artery grafts up to 7 years after the operation. Between April 1988 and April 1992, 214 patients received CABG with at least one ITA graft and were followed up for more than 3 years. They were divided into two groups: Group I consisted of 155 patients who had CABG using one ITA with or without saphenous vein grafts, and group II consisted of 59 patients who had CABG using an ITA and a gastroepiploic artery with or without saphenous vein grafts. The duration of follow-up for hospital survivors ranged from 36 to 89 months. There were six late cardiac deaths in group I and one in group II. Fifteen patients complained of recurrent symptoms of angina: 13 in group I and 2 in group II. The actuarial survival rate excluding noncardiac deaths was 95.9% in group I and 96.8% in group II at 7 years (p = no...Continue Reading

References

Jan 1, 1991·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·H SumaR Takanashi
May 1, 1989·The Annals of Thoracic Surgery·N L Mills, C T Everson

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Citations

Sep 3, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·T IsomuraT Horii
Mar 1, 2009·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Takuro TeradaGo Watanabe
Feb 2, 2000·The Annals of Thoracic Surgery·T SatoN Kikuchi
Mar 26, 2003·Seminars in Thoracic and Cardiovascular Surgery·Hisayoshi Suma, Guo-Wei He
Jul 5, 2008·Journal of Cardiac Surgery·Hideki Sasaki
Nov 19, 2004·Journal of Cardiac Surgery·Hitoshi HiroseAkihito Takahashi
Feb 4, 2003·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Hendrick B Barner
Apr 18, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·I FukudaH Kamiya

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