| Availability of the in situ right gastroepiploic artery for coronary artery bypass. | |
MedLine Citation:
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PMID: 1731667 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
Authors:
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T Saito; H Suma; Y Terada; Y Wanibuchi; S Fukuda; S Furuta |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 53 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1992 Feb |
Date Detail:
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Created Date: 1992-02-18 Completed Date: 1992-02-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 266-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Coronary Artery Bypass / methods* Female Humans Male Middle Aged Omentum / blood supply Stomach / blood supply Vascular Patency |
| Comments/Corrections | |
Comment In:
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Ann Thorac Surg. 1992 Dec;54(6):1244-5
[PMID:
1449325
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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