Document Detail


Angiographic characteristics of major intramural coronary arteries and their effect on coronary bypass surgery.
MedLine Citation:
PMID:  20058508     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Dissection of intramyocardial coronary arteries can cause technical problems in coronary bypass surgery, including bleeding and inadvertent ventricular perforation, which can prolong the operation time. The goal of this study was to assess the effects of intramural coronary arteries on coronary bypass surgery and to define the angiographic characteristics of these coronary arteries. METHODS AND RESULTS: We studied 112 patients (60.12 +/- 10.23 y, 98 M) who underwent coronary bypass surgery, half of whom had intramural coronary arteries. Coronary angiographies were revised just after surgery, and characteristics of intramural coronary arteries were documented by combining surgical findings and angiographies. In angiographic examinations, studied intramural segments of the coronary arteries had less angulations in contrast to matched segments of control groups (mean 1.1 +/- 0.3 vs. 2.46 +/- 1.04, P < 0.001), and the angles were significantly smaller (13.25 +/- 1.28 degrees vs. 24.11 +/- 11.0 degrees P < 0.001). During surgery the intramural portions of the coronary arteries appeared to be free of atherosclerotic plaques. Mean cross clamp time of patients with intramural coronary arteries was longer than that in control patients (58.86 +/- 19.65 vs. 48.29 +/- 16 68, P < 0.01). CONCLUSIONS: Major intramural coronary arteries can be diagnosed preoperatively by angiographic examination. Overlying myocardial bands play a protective role against coronary artery atherosclerosis.
Authors:
Caner Arslan; Bekir Kayhan; Emir Cantürk; Ahmet Kürşat Bozkurt
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  64     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2010-01-11     Completed Date:  2010-02-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  627-31     Citation Subset:  IM    
Affiliation:
TDV 29 Mayis Hospital, Cardiovascular Surgery Dept., Istanbul, Turkey. canerkvc@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Coronary Angiography / methods*
Coronary Artery Bypass / methods*
Coronary Vessel Anomalies / complications,  radiography*
Female
Humans
Intraoperative Complications
Male
Middle Aged
Myocardial Ischemia / etiology,  surgery*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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