PMID: 9527191Apr 4, 1998Paper

Left anterior descending endarterectomy and internal thoracic artery bypass for diffuse coronary disease

The Annals of Thoracic Surgery
I S GillW J Keon

Abstract

The risk and efficacy of using an arterial conduit to bypass an endarterectomized coronary artery remain incompletely defined. To address this question we analyzed retrospectively 74 patients from 1989 to 1994 in whom bypass grafting using the left internal thoracic artery to an endarterectomized left anterior descending artery was performed. There were 60 men and 14 women with a mean age of 60.1 +/- 8.6 years. Of this cohort, 55 patients (74.3%) had a previous infarction, 18 (24.3%) were diabetic, and 5 (6.7%) had reoperations; 25 patients (34%) had a totally occluded left anterior descending artery and the average ejection fraction was 45%. Each patient had 2.95 +/- 0.52 grafts with 48 patients (65%) requiring multiple endarterectomies. The average length of the endarterectomized segment was 3.1 +/- 1.6 cm. Average anoxia time was 49 +/- 13 minutes. Postoperatively 19 patients (25.6%) required intraaortic balloon and 18 (24.3%) required inotropic support. Perioperative infarction in the left anterior descending artery distribution occurred in 5 patients (6.7%). There were 3 (4.0%) early and 4 (5.4%) late deaths at a mean follow-up of 36 +/- 16 months. Recurrent angina was present in 9 patients (14.7%). Actuarial 5-year surviv...Continue Reading

References

Nov 1, 1991·The Annals of Thoracic Surgery·J S LadowskiA C Peterson
Jun 8, 1957·Journal of the American Medical Association·C P BAILEYW M LEMMON

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Citations

Jan 6, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Y NakayamaY Arai
Jun 1, 2001·The Annals of Thoracic Surgery·M A RuelF D Rubens
Oct 30, 1999·The Annals of Thoracic Surgery·T M SundtW A Gay
Sep 24, 2009·Journal of Cardiothoracic Surgery·Jan D SchmittoFriedrich A Schoendube
Mar 3, 2012·The Annals of Thoracic Surgery·Yasuyuki KatoYoshihiro Shimizu
Aug 9, 2011·Current Problems in Cardiology·Kevin L Greason, Hartzell V Schaff
Apr 17, 2016·Atherosclerosis·Antonio StavrouGeorgios Dimitrakakis
Mar 1, 2005·The Annals of Thoracic Surgery·Hiroyuki NishiYoshihiro Shimizu
Jan 30, 2007·The Annals of Thoracic Surgery·Temucin Noyan OgusMelih Hulusi Us
Jan 24, 2007·Journal of Cardiac Surgery·Ahmad K DarwazahIzzedein H Yasin
Oct 26, 2005·The Annals of Thoracic Surgery·Srikrishna SirivellaVictor Parsonnet
Mar 29, 2014·Journal of cardiology·Nikolaos A PapakonstantinouEfstratios Apostolakis
Apr 17, 2012·The Journal of Thoracic and Cardiovascular Surgery·Patrick O MyersSary F Aranki
May 23, 2006·Asian Cardiovascular & Thoracic Annals·Feza NurozlerCandan Okten
Nov 28, 2009·Seminars in Thoracic and Cardiovascular Surgery·Andrew W ElbardissiSary A Aranki

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