Document Detail

Availability of the in situ right gastroepiploic artery for coronary artery bypass.
MedLine Citation:
PMID:  1731667     Owner:  NLM     Status:  MEDLINE    
The right gastroepiploic artery (GEA) has been successfully used as a coronary bypass graft recently. We examined the in situ GEA graft length required from the pyloric portion to the site of coronary anastomosis at the time of operation. Measured GEA length was 17.0 +/- 1.7 cm for the posterior descending artery anastomosis in 17 patients, 17.8 +/- 1.7 cm for the main right coronary artery anastomosis in 13 patients, 22.0 +/- 2.3 cm for the posterolateral branch anastomosis in 7 patients, and 21.0 cm for the left anterior descending artery anastomosis in 1 patient. We examined 228 randomly selected abdominal angiograms and measured the internal diameter of the right GEA at every 2-cm interval from its origin. Probability of availability of the in situ GEA graft for each site of anastomosis was 97% to the right coronary artery and 88% to the anterior descending or the circumflex artery when the internal diameter of GEA was 1.5 mm or greater. From an anatomical standpoint, we concluded that the GEA can be assumed available without preoperative angiography.
T Saito; H Suma; Y Terada; Y Wanibuchi; S Fukuda; S Furuta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  53     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1992 Feb 
Date Detail:
Created Date:  1992-02-18     Completed Date:  1992-02-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  266-8     Citation Subset:  AIM; IM    
Department of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
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MeSH Terms
Aged, 80 and over
Coronary Artery Bypass / methods*
Middle Aged
Omentum / blood supply
Stomach / blood supply
Vascular Patency
Comment In:
Ann Thorac Surg. 1992 Dec;54(6):1244-5   [PMID:  1449325 ]

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

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