Document Detail


Mechanisms of occlusion of saphenous vein--coronary artery "jump" grafts.
MedLine Citation:
PMID:  300447     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Seven patients with 12 end-to-side and eight side-to-side saphenous vein graft-to-coronary artery anastomoses were studied at autopsy. Postmortem coronary arteriograms and serial histologic sections of the anastomoses were performed. Occlusive changes occurring in the coronary arteries tended to be at the ends of the arteriotomy and could be attributed to reduction of arterial circumference from its eversion and utilization in the anastomotic connection, or from thrombosis along the suture line or from both. The mechanisms of arterial occlusion were the same in side-to-side and end-to-side anastomoses. In addition to the occlusive changes at the anastomosis, "jump" grafts with two anastomoses were susceptible to rolling or kinking of the graft, apparently as a result of torsion from placement of the side-to-side anastomosis.
Authors:
G M Hutchins; B H Bulkley
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  73     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1977 May 
Date Detail:
Created Date:  1977-05-27     Completed Date:  1977-05-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  660-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass
Coronary Disease / etiology*,  pathology
Coronary Vessels / pathology,  surgery*
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Revascularization / adverse effects*,  methods
Necrosis
Saphenous Vein
Transplantation, Autologous
Veins / transplantation*

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


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