Document Detail

Myocardial revascularization using branches of the left internal mammary artery.
MedLine Citation:
PMID:  7488778     Owner:  NLM     Status:  MEDLINE    
To increase the number of arterial grafts in patients with multivessel coronary disease, we have used branches of the left internal mammary artery (LIMA) as bypass grafts. From March 1990 to June 1993, 15 patients (13 males and 2 females) aged 38 to 65 years (mean 57 +/- 8), received a total of 30 LIMA branch anastomoses. The two terminal branches were used to perform a "Y" graft to the left anterior descending coronary artery territory in 13 patients. A pericardiophrenic branch was used in four cases. Five patients (33.3%) had complete myocardial revascularization using IMA only. There were neither early nor late deaths and all patients are free from angina at a mean follow-up of 20 months (6 to 45 months). However, early postoperative cardiac catheterization, performed in 12 patients (80%), revealed a 20% occlusion rate for each terminal branch and a 50% occlusion rate for the pericardiophrenic branch. Technically challenging due to the small diameter of the grafts, the terminal LIMA branches should be limited to selected patients when more conventional arterial or vein conduits are not available. More proximal branches have a higher occlusion rate and their use is not recommended.
E Tappainer; A Fabbri; R Pessotto; G B Luciani; A Mazzuco
Related Documents :
11121598 - Non-invasive coronary bypass graft imaging after multivessel revascularisation.
9146358 - Retrosternal fat pad for prevention of suppurative sternitis.
10892938 - Incidence and size of lateral costal artery in 103 patients.
1453718 - Use of internal mammary artery in myocardial revascularization after mediastinal irradi...
16607058 - Beraprost sodium-induced hypotension in two patients after cardiac surgery.
12119528 - Gastroduodenal artery stump haemorrhage following pylorus-sparing whipple procedure: tr...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  10     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1996-01-04     Completed Date:  1996-01-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  559-63     Citation Subset:  IM    
Divisione e Cattedra di Cardiochirurgia, Università di Verona, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Angina Pectoris / surgery
Coronary Angiography
Coronary Circulation
Coronary Disease / radiography,  surgery
Disease Progression
Follow-Up Studies
Heart Catheterization
Internal Mammary-Coronary Artery Anastomosis / adverse effects,  methods*
Mammary Arteries / pathology
Middle Aged
Survival Rate
Vascular Patency

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

Previous Document:  Clinical experience with a total artificial heart as a bridge for transplantation: the pitie experie...
Next Document:  Closure of isolated ventricular septal defect with detachment of the tricuspid valve.