Document Detail


Bilateral internal thoracic artery grafting.
MedLine Citation:
PMID:  23977627     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The effectiveness of the left internal mammary artery graft to the anterior descending coronary artery as a surgical strategy has been shown to improve the survival rate and decrease the risk of adverse cardiac events in patients undergoing coronary bypass surgery. These clinical benefits appear to be related to the superior short and long-term patency rates of the internal thoracic artery graft. Although the advantages of using of both internal thoracic arteries (ITA) for bypass grafting have taken longer to prove, recent results from multiple data sets now support these findings. The major advantage of bilateral ITA grafting appears to be improved survival rate, while the disadvantages of complex ITA grafting include the increased complexity of operation, and an increased risk of wound complications. While these short-term disadvantages have been mitigated in contemporary surgical practice, they have not eliminated. Bilateral ITA grafting should be considered the procedure of choice for patients undergoing coronary bypass surgery that have a predicted survival rate of longer than ten years.
Authors:
Bruce W Lytle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of cardiothoracic surgery     Volume:  2     ISSN:  2225-319X     ISO Abbreviation:  Ann Cardiothorac Surg     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-08-26     Completed Date:  2013-08-26     Revised Date:  2013-08-28    
Medline Journal Info:
Nlm Unique ID:  101605877     Medline TA:  Ann Cardiothorac Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  485-92     Citation Subset:  -    
Affiliation:
Cleveland Clinic, Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, USA.
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