Low recurrence of angina pectoris after coronary artery bypass graft surgery with bilateral internal thoracic and right gastroepiploic arteries

Circulation
T M BergsmaT Ebels

Abstract

In the past 10 years, there has been a trend to use more arterial grafts instead of vein grafts for coronary artery bypass graft surgery. Although there are many reports on the short- and mid-term follow-up of patients who underwent arterial revascularization with 1 or 2 arteries, little has been reported on the follow-up of patients with 3-vessel disease who received 3 arteries. We reviewed a group of 256 patients with 3-vessel disease who received the right gastroepiploic artery together with both internal thoracic arteries (ITAs). Vein grafts were not used in these patients. The patients were monitored for up to 7 years (mean, 51+/-15 months). Seven-year actuarial survival was 91.1%. The cumulative probability of event-free survival for myocardial infarction, reintervention, and angina pectoris at 7 years was 97.3%, 95.4%, and 85.4%, respectively. We conclude that concomitant use of the gastroepiploic artery with both ITAs results in low mortality and a low incidence of myocardial infarction and reintervention at follow-up. Most interestingly, we found 85.4% freedom from angina pectoris after 7 years, which is considerably lower than the results of studies in which vein grafts, single ITA grafts, or double ITA grafts are use...Continue Reading

References

Feb 1, 1990·The Annals of Thoracic Surgery·A C FioreH B Barner
Dec 1, 1989·European Heart Journal·F D Loop
Jan 2, 1986·The New England Journal of Medicine·F D LoopW C Sheldon
Jan 1, 1995·Journal of the American College of Cardiology·A A CameronJ Thornton
Jun 1, 1994·The Annals of Thoracic Surgery·E BerreklouwJ J Bredée
Nov 1, 1995·Current Opinion in Cardiology·N L Mills, C T Everson
Jan 31, 1997·International Journal of Cardiology·B L van BrusselA A Voors
Oct 6, 1997·The Annals of Thoracic Surgery·A W PickH V Schaff

❮ Previous
Next ❯

Citations

May 24, 2001·Microsurgery·B BlainW C Lineaweaver
Aug 3, 2005·Annals of Biomedical Engineering·N Peter DavisRaymond Vito
Nov 7, 2006·The International Journal of Cardiovascular Imaging·R DikkersM Oudkerk
Oct 31, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yoshiharu SogaMasashi Komeda
Dec 12, 2003·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Nili ZafrirRan Kornowski
Jan 13, 2001·The Annals of Thoracic Surgery·M UraT Saito
Jul 29, 2000·Controlled Clinical Trials·S E Fremes
Oct 1, 1996·Journal of the American College of Cardiology·R F BrodmanI Hollinger
Apr 12, 2001·The New England Journal of Medicine·P W SerruysUNKNOWN Arterial Revascularization Therapies Study Group
Nov 4, 2000·The Journal of Cardiovascular Nursing·M M Weber
Mar 1, 2009·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Takuro TeradaGo Watanabe
Jul 26, 2005·Circulation Journal : Official Journal of the Japanese Circulation Society·Mizuhiro ArimaShigeru Matsuda
Aug 23, 2005·The Heart Surgery Forum·Mark M Levinson
Apr 6, 2000·The Annals of Thoracic Surgery·K YasuuraH Okamoto
Apr 27, 2002·Seminars in Thoracic and Cardiovascular Surgery·W Douglas BoydReiza Rayman
Dec 6, 2002·Current Opinion in Cardiology·Bruce W Lytle, Joseph F Sabik
Mar 31, 2009·The Journal of Thoracic and Cardiovascular Surgery·Michele Di MauroAntonio M Calafiore
Nov 22, 2008·The Annals of Thoracic Surgery·Wook Sung KimPyo Won Park
Feb 28, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hiroyuki KamiyaGo Watanabe
Jul 5, 2008·Journal of Cardiac Surgery·Hideki Sasaki
Mar 28, 2006·The Annals of Thoracic Surgery·Roger J F BaskettSamer A M Nashef
Apr 17, 2003·The Journal of Thoracic and Cardiovascular Surgery·Felix UngerFerdinand Kiemeneij
Apr 28, 2007·The Annals of Thoracic Surgery·Masashi KaiMasahide Kawato
Mar 10, 2001·The Journal of Thoracic and Cardiovascular Surgery·A MatsuuraK Iwata
May 9, 2007·American Journal of Hypertension·Martin AldasoroJosé M Vila
Nov 1, 2006·Journal of Cardiac Surgery·Francesco FormicaGiovanni Paolini
Dec 13, 2005·Journal of Interventional Cardiology·Hartmut OsterJürgen Haase
Jul 21, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·O WendlerH J Schäfers
May 22, 2003·Journal of Cardiac Surgery·Olivier JegadenPhilippe Mikaeloff
Jan 8, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F D Loop
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

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.