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Eulmesekian Pablo G - - 2007
OBJECTIVE: We describe an infrequent but potentially lethal complication: an iatrogenic injury of the internal mammary artery after central venous catheterization. DESIGN: Report of cases. SETTING: Pediatric intensive care unit. PATIENTS: The first patient we report on is a 3-yr-old girl who was severely neurologically damaged and was admitted to ...
Bernier Martin - - 2007
We report a diagnostic and therapeutic challenge involving an unusual coronary artery bypass complication. This is the first report of extensive systemic-pulmonary shunts involving the left internal mammary artery, lateral thoracic and intercostal arteries following coronary artery bypass surgery. Although internal mammary to pulmonary arterial fistula are uncommon complications of ...
Nishida Satoru - - 2007
This case report presents the robotically assisted multivessel minimally invasive direct coronary artery bypass grafting (MIDCAB) technique using the bilateral internal thoracic arteries. A 54-year-old man with multivessel coronary artery disease was considered eligible for a robotically assisted myocardial revascularization. The bilateral internal thoracic arteries were harvested completely in a ...
Saito Takahiko - - 2008
We report a case of internal mammary artery graft dissection. Cardiac catheterization showed a spiral dissection in the anastomotic site of internal mammary artery graft with TIMI 3 flow. Percutaneous stenting for native coronary artery lesions was performed. Cardiac catheterization, performed 2 years after the stenting, showed no change in ...
Chan Richard Y J - - 2007
We describe the case of a patient who previously had coronary artery bypass grafting including a free right internal mammary artery graft anastomosed to a chronic totally occluded right coronary artery (RCA) proximally and distally and who presented with a high-risk acute coronary syndrome. Coronary angiography revealed the graft to ...
Tsakiridis Kosmas - - 2007
Two cases of internal thoracic artery side-branch ligation in patients with recurrent angina after coronary bypass are reported with long-term follow-up. Ligation was performed with clips via a left thoracotomy. Treadmill stress testing after 3 and 4 years did not provoke any myocardial ischemia. These findings suggest that an unligated ...
Pektok Erman - - 2007
OBJECTIVES: Despite many animal and clinical studies to date, there is still debate on the effect of internal thoracic artery harvesting on postoperative sternal perfusion and thus healing. We performed a prospective clinical study to assess the postoperative sternal perfusion in patients who underwent surgical coronary revascularization by means of ...
Mangoush Omar - - 2008
BACKGROUND: The antioxidant properties of blood vessels contribute to their performance and patency of that vessel when used as a bypass conduit. Despite increased use of the radial artery (RA) in recent years, very little is known about its antioxidant properties. We compared the ability of the RA to generate ...
Argiriou Mihalis - - 2007
The internal mammary artery is the conduit of choice for cardiac revascularization. Atherosclerotic disease of the coronary arteries may simultaneously involve the subclavian artery. Proximal stenosis in the left subclavian artery may result in recurrent myocardial ischemia in patients with a patent left internal mammary artery (LIMA), due to coronary ...
Ierna Salvatore - - 2007
We describe a case of successful percutaneous transluminal coronary angioplasty and stenting from the left radial approach in a patient with effort angina due to two tight stenoses at the distal anastomosis site of the internal mammary artery grafts. The left radial approach has several advantages compared with the conventional ...
Pemberton James - - 2007
We present the case of a 65-year-old man who had undergone coronary artery bypass surgery 12 years previously. He presented with recurrent cardiac chest pain. Repeat coronary angiography showed anastomosis of the left internal mammary artery to the anterior cardiac vein. There was no evidence of a fistula formation. In ...
Fukazawa Ryuji - - 2007
BACKGROUND: Kawasaki disease (KD) causes coronary artery disease (CAD) in children. In addition, a history of KD is suspected to be a risk factor for the development of atherosclerotic heart disease in the future. Histological senescence changes are a common denominator in atherosclerotic lesions in adults, so the present study ...
Harden M P - - 2007
Coronary artery bypass grafting (CABG) is one of the most significant surgical achievements of the 20th century. The contributions of Vineberg, Kolesoz, Favaloro and DeBakey are well known, but the name of Goetz means little to most surgeons. Goetz performed the world's first successful CABG on May 2, 1960, in ...
Kim Hyo-Cheol - - 2007
PURPOSE: To determine technical feasibility, therapeutic efficacies, and identify prognostic factors in patients with hepatocellular carcinoma (HCC) treated by transarterial chemoembolization via the internal mammary artery. MATERIALS AND METHODS: From August 1996 to July 2005, the authors identified the internal mammary arteries supplying HCCs in 97 (2.2%) of 4,438 HCC ...
El Oakley Reida M - - 2007
Coronary artery bypass techniques, currently applied to maximize the benefits of multiple arterial coronary conduits, render the newly constructed myocardial flow dependent on a single source "inflow" of blood. We describe a technique for total arterial coronary revascularization with multiple inflows; the distal end of the pedicled right internal thoracic ...
Ak Koray - - 2007
A 50-year-old man was referred to the Department of Thoracic and Cardiovascular Surgery at the Johann Wolfgang-Goethe University (Frankfurt, Germany) with angina on exertion. An evaluation revealed critical stenosis involving the proximal portion of the left anterior descending artery and the first diagonal branch. The patient underwent successful sequential grafting ...
Vassiliades Thomas A TA - - 2007
PURPOSE: The purpose of this study was to observe the acute effects of harvesting the porcine internal mammary artery using a novel bipolar (BP) radiofrequency energy device. DESCRIPTION: The internal mammary artery from 16 porcine subjects was harvested using monopolar electrosurgery, BP electrosurgery, ultrasonic coagulation, and mechanical dissection with clips. ...
Pucar Ana - - 2007
BACKGROUND: Chronic infections, such as periodontitis, have been associated with an increased risk for atherosclerosis and coronary artery disease. The aim of this study was to investigate biopsy samples of coronary and internal mammary arteries for the presence of putative pathogenic bacteria (Porphyromonas gingivalis, Actinobacillus actinomycetemcomitans, Prevotella intermedia, and Tannerella ...
Ibrahim Khalid S - - 2007
Anastomosis of the left internal mammary artery to the left anterior descending artery was performed in 9 pigs to evaluate the effect of changes in the cardiac cycle and the choice of ultrasound mode on assessment of graft morphology. The length of the anastomosis and the diameters of the left ...
Weinberg Nicole - - 2008
The left internal mammary artery (LIMA) is a widely used conduit during coronary artery bypass graft surgery because of its excellent long-term patency. Although large LIMA side branches are typically ligated during the surgery, the occurrence of a coronary steal phenomenon related to these side branches following surgery remains controversial. ...
Latib Azeem - - 2007
Recanalization of chronic total occlusions (CTO) remains one of the most technically challenging areas in interventional cardiology. We report a case of retrograde recanalization of a chronically occluded mid-right coronary artery into a right internal mammary graft via a septal collateral. This retrograde approach provides another option for CTO recanalization ...
Forte Antonio J V - - 2007
There is a controversy about flow steal when the internal thoracic artery is used, with its remnant branches, to revascularize the coronary system. We report a case of a 64-year-old man who was submitted to revascularization using an in situ right internal thoracic artery, with persisting side branches, to supply ...
Bonatti J - - 2007
BACKGROUND: Robotic endoscopic coronary artery bypass grafting procedures usually are performed as solo surgery operations. This study aimed to investigate whether manual assistance can reduce suturing times and anastomotic suturing problems in robotic coronary artery surgery. METHODS: In isolated pig hearts, the right coronary artery was excised from the epicardium ...
Cademartiri Filippo - - 2007
We present a case of 81-year-old woman complaining chest pain after minimal efforts who underwent multiple coronary artery bypass grafts (CABGs) during the last 15 years. A significant in-stent re-stenosis was found at ostium of left internal mammary artery (LIMA). A non-invasive CT coronary angiography (CT-CA) was performed after 6-month ...
Paul Ian - - 2007
Patients with Klippel-Feil syndrome have increased incidence of subclavian artery anomalies. We report a case of a patient with this syndrome undergoing coronary artery bypass grafting. Intra-operatively, the patient was found to have the left internal mammary artery arising from the second intercostal space and the decision was taken to ...
Unlü Yahya - - 2007
OBJECTIVES: Brachial plexus injury is a rare complication after median sternotomy. We investigated that injury to the brachial plexus was retrospectively assessed in the results of three patients who underwent median sternotomy for open heart surgery. MATERIALS AND METHODS: All patients were placed in the hands-up position after right internal ...
Tarhan Ibrahim Arif - - 2007
BACKGROUND: Free flow of the internal thoracic artery decreases commonly after harvesting because of spasm. Tissue heat loss is inevitable during surgery. The aim of this study was to compare the internal thoracic artery pedicle rewarming method with topical papaverine applications in different thermal conditions. METHODS: Patients (n = 120) ...
Karimi Abbasali - - 2007
We report our experience of two patients suffering from severe coronary artery disease and situs inversus totalis with dextrocardia. The surgeon, standing on the right side of the patients, performed coronary artery bypass grafting by harvesting the right internal mammary artery in lieu of the left one.
Kucukarslan Nezihi - - 2007
Redo coronary artery bypass grafting (CABG) compromises a growing proportion of CABG in the current era of revascularization. Intimal hyperplasia at the site of anastomosis between left internal mammary artery (LIMA) and left anterior descending artery (LAD) is not infrequently reported causing severe ischemic symptoms in some patients. An additional ...
Buyukates Mustafa - - 2007
The left internal mammary artery is the conduit of choice for coronary artery bypass grafting. In the traditional ("clipped-artery") harvesting technique, this artery is prepared as a pedicle; the distal part is clipped, cut, and covered with a papaverine-soaked cloth until anastomosis is performed. In modified ("nonclipped-artery") harvesting, the prepared ...
Korkmaz Askin Ali - - 2007
In certain coronary artery bypass grafting operations, the internal thoracic artery is not by itself adequate for complete arterial revascularization. Which graft should be used for revascularization of the right coronary artery is still a matter of debate. From August 2000 through July 2005, we performed coronary-coronary bypass grafting on ...
Mizukami Naoko - - 2006
OBJECTIVES: Evaluation of left anterior descending coronary artery (LAD) flow by transthoracic Doppler echocardiography (TTDE) may allow assessment of anastomosis of the internal mammary artery (IMA) grafted to the LAD. This study tested the feasibility of TTDE to evaluate anastomotic stenosis of the IMA grafted to the LAD. METHODS: TTDE ...
Mishra Yugal K - - 2006
Robotically enhanced surgery is a fast-developing technique that allows totally endoscopic cardiac surgery on both the beating and arrested heart. Between December 2002 and May 2005, 13 patients underwent totally endoscopic coronary bypass using the da Vinci system; 11 operations were on a beating heart and 2 on arrested hearts. ...
Ferrari Enrico Riccardo - - 2006
PURPOSE OF REVIEW: Arterial conduits are becoming popular in cardiac surgery. Clinical studies and long-term follow-ups have proven that this technique provides satisfactory long-lasting results. The purpose of this review is to give an overview of the main articles from recent literature and compare the latest results. RECENT FINDINGS: Arterial ...
Akilli A - - 2006
There is not an established consensus on the treatment of coronary steal syndrome caused by unligated thoracic side branches of internal mammary artery. Occlusion of thoracic side branch is not recommended without objective evidence of ischemia. This case report presents transbrachial coil occlusion of thoracic side branch of left internal ...
Nakamura Takeshi - - 2006
The authors report a case of percutaneous transluminal angioplasty (PTA) with coronary stent for stenosis in a left internal mammary artery (IMA) graft, which led to newly developed stenosis at both sides of the stent in the IMA graft. The intravascular ultrasound (IVUS) revealed that the stenotic lesion consisted of ...
Stein Hubert - - 2006
PURPOSE: Our aim was to assess whether the left internal mammary artery, left anterior descending artery, and anastomosis could be visualized by intraoperative ultrasound for safe graft harvesting, optimal anastomotic target selection, and quality control. DESCRIPTION: In 10 patients, the left internal mammary artery, the left anterior descending artery, and ...
Lotto Attilio A - - 2006
We are reporting a case of a patient who underwent an aortic valve replacement with previous coronary artery bypass grafting. During the operation we used a Doppler velocity probe to locate the exact position of the bilateral internal thoracic arteries. Once the vessels were identified, a suture was passed widely ...
Ennker I C IC Heart-Institute Lahr, Baden, - - 2006
Dextrocardia associated with situs inversus totalis is a rare condition and there are few reports of myocardial revascularisation in such patients. An 82-year-old woman with dextrocardia and situs inversus totalis underwent successful off-pump coronary artery bypass grafting using internal mammary arteries. The operative technique was similar to that of off-pump ...
Kiaii Bob - - 2006
BACKGROUND: The purpose of this study was to compare the quality of left internal thoracic arteries harvested by the conventional open approach versus minimally invasive videoscopic and robotic-assisted telesurgical techniques. METHODS: One hundred and fifty consecutive patients with single vessel coronary artery disease were prospectively studied. The left internal thoracic ...
Poncelet A J - - 2006
Dextrocardia with complete situs inversus is a rare condition that occurs approximately in 2/10,000 live births. Coronary revascularization management in this setting differs in the technical considerations imposed by the malposition of the heart itself. We report here a case of complete arterial revascularization using both internal thoracic arteries and ...
Wisser Wilfried - - 2006
The transition to totally endoscopic arterial bypass grafting (TECAB) by computer enhanced instrumentation systems brings the loss of an assisting hand for grasping the pedicle of the internal thoracic artery (ITA) and holding the threads, since only two robotic arms are positioned in the thoracic cavity. That is why exact ...
Suyker Willem J L - - 2006
BACKGROUND: Anastomotic connectors could be the key to less invasive bypass surgery, including endoscopic procedures, but equivalence to conventional suturing needs to be established. A novel distal coronary connector was tested pre-clinically for safety and efficacy in comparison to conventional suturing. METHODS AND RESULTS: Left internal thoracic to left anterior ...
Kumar Pawan - - 2006
We describe a novel technique for lung retraction during dissection of the internal mammary artery for its use in coronary artery bypass grafting. The lung is retracted using the blades of the Octopus (Medtronic Inc, Minneapolis, MN) suction stabilizer, without the suction connected. This technique can be used when the ...
Berdajs Denis - - 2006
BACKGROUND: The internal thoracic artery (ITA) is the conduit of choice in coronary bypass grafting, due to the excellent long-term results achieved using it. However, increased incidence of sternal infections after pedicled ITA harvesting has revived interest in the morphology of sternal blood supply. Our aim was to discuss the ...
Aqel Raed - - 2006
Myocardial bridging, systolic compression of an intramyocardial segment of an epicardial coronary artery, is well known to involve native coronary arteries. Systolic compression of bypass grafts has been rarely described. We present two cases of dynamic systolic compression of bypass grafts to native coronary arteries: one of a vein graft ...
Sardella Gennaro - - 2006
We report the case of a 53-year-old white man who began complaining of dyspnoea and angina 19 months after coronary artery bypass graft surgery. Coronary angiography revealed the presence of a long and critical stenosis in the native left anterior descending coronary artery, shortly after distal anastomosis of the left ...
Calafiore Antonio Maria - - 2006
The superiority of the left internal mammary artery over the saphenous vein graft led many surgeons to adopt bilateral internal mammary artery (BIMA) as a good surgical option for further improving late outcome of patients undergoing myocardial revascularization. However, routine use of BIMA was limited by some potential drawbacks: the ...
El Oakley Reida M - - 2006
The internal mammary artery (IMA) in patients with small body surface area, frequently found in the Asian population, is often small and delicate and can be easily damaged during suturing, particularly at the "toe" of the anastomosis. This may lead to less frequent utilization of the IMA as a bypass ...
Bahrami Gholamreza - - 2006
BACKGROUND: Atherosclerosis represents the principal cause of death in the many societies. Since few data have been published about the composition of fatty acids in atherosclerotic arteries such as the aorta comparing to the non affected internal mammary artery which is used for aortocoronary bypass grafting, we compared the fatty ...
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