PMID: 312595Jun 1, 1979

Revascularization of the right coronary artery

The American Journal of Cardiology
H LaksH B Barner

Abstract

This study was undertaken to evaluate revascularization of the right coronary artery with regard to factors that enter into the decision to graft less significant lesions, such as graft flow, graft patency and progression of proximal disease. The results of grafting the right coronary artery were studied in 23 patients with lesions reducing luminal diameter by less than 50 percent (Group 1), 35 patients with luminal narrowing of 50 to 70 percent (Group 2) and 112 patients with greater than 70 percent luminal narrowing (Group 3). At operation there was no significant difference in saphenous vein graft flows among the three groups. Postoperatively the mean follow-up period was 20, 27 and 26 months, respectively. Graft patency was not significantly different among the three groups. Progression of the proximal lesion was studied and compared with that in 71 ungrafted right coronary arteries, 60 with less than 50 percent stenosis and 11 with more than 50 percent stenosis. Among vessels with less than 50 percent narrowing, the proximal lesion showed progression in 26 percent of the ungrafted vessels and in 83 percent of the grafted vessels (P less than 0.005); progression to total occlusion occurred in 3 percent of the former and in ...Continue Reading

References

Sep 1, 1972·The Annals of Thoracic Surgery·M AdamB F Mitchel
Mar 15, 1973·The New England Journal of Medicine·E L AldermanD C Harrison
Jun 1, 1973·Circulation·M R MalinowJ Rösch
Jul 1, 1973·Circulation·M G BourassaJ Lespérance

Citations

Jun 25, 2005·The Annals of Thoracic Surgery·Tsuyoshi ShimizuShin Ishimaru
Oct 1, 1981·American Heart Journal·D Kimbiris, B L Segal
Jan 1, 1980·Catheterization and Cardiovascular Diagnosis·A L GoldbergerW Y Moores

Related Concepts

Coronary Artery Bypass Surgery
Coronary Circulation
Coronary Heart Disease
Cardiac Catheterization Procedures
Saphenous Vein
Transplantation, Autologous
Veins
Coronary Angiography

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