| Coronary artery bypass surgery by the transdiaphragmatic approach. | |
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MedLine Citation:
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PMID: 12238827 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The transdiaphragmatic approach is useful for reoperative coronary artery bypass grafting involving the right coronary artery because it does not require median sternotomy or cardiopulmonary bypass. METHODS: Twenty-one patients underwent coronary artery bypass surgery by the transdiaphragmatic approach. The ratio of first operations to reoperations was 7:14. The cause of reoperation was occlusion of a saphenous vein graft in 4 patients, right gastroepiploic artery graft failure in 3 patients, and a new sclerotic lesion in the right coronary artery in 7 patients. When the radial artery or saphenous vein was used, grafting extended from the origin of the gastroduodenal artery to the right coronary artery. RESULTS: None of the patients died during surgery. The sites of anastomoses were as follows: right coronary artery in 11 patients, right posterior descending artery in 9 patients, and the atrioventricular node artery in 1 patient. The following types of grafts were used: right gastroepiploic artery in 17 patients, saphenous vein in 2 patients, and radial artery in 2 patients. CONCLUSIONS: When reoperative coronary surgery involving the right coronary artery is necessary, the transdiaphragmatic technique is effective because it does not damage patent grafts placed during the primary operation. |
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Authors:
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Kenji Takahashi; Masahito Minakawa; Norihiro Kondo; Shigeru Oikawa; Masaharu Hatakeyama |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 74 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2002 Sep |
Date Detail:
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Created Date: 2002-09-19 Completed Date: 2002-10-01 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: 700-3 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiovascular Surgery, Aomori Rousai Hospital, Hachinohe, Japan. takaken@aomorih.rofuku.go.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Arteries / transplantation Coronary Angiography Coronary Artery Bypass / methods* Coronary Restenosis / radiography, surgery* Diaphragm / surgery Female Humans Male Middle Aged Postoperative Complications / radiography, surgery* Reoperation / methods Veins / transplantation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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