| Off-pump obtuse marginal grafting with local stabilization: thoracotomy approach in reoperations. | |
MedLine Citation:
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PMID: 10509989 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Redo coronary surgery in patients with patent internal mammary artery (IMA) grafts may be hazardous. A thoracotomy approach has been used to graft the circumflex branches to avoid injury from sternal re-entry. Combining this approach with off-pump revascularization techniques may be useful. METHODS: Seven consecutive patients who had undergone prior coronary revascularization developed symptoms attributable to lateral wall ischemia. Five of them had patent IMA grafts. These patients underwent off-pump obtuse marginal grafting using local immobilization techniques via a thoracotomy approach. Inflow was from the descending aorta in 6 patients and splenic artery in 1. RESULTS: Obtuse marginal grafting was successfully performed in all cases without need for cardiopulmonary bypass. CONCLUSIONS: Off-pump obtuse marginal grafting via the thoracotomy route may be useful in redo coronary surgery, particularly in instances of patent IMA grafts. |
Authors:
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F J Baumgartner; A Gheissari; G P Panagiotides; E R Capouya; R J Declusin; T Yokoyama |
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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: 68 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1999 Sep |
Date Detail:
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Created Date: 1999-10-15 Completed Date: 1999-10-15 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: 946-8 Citation Subset: AIM; IM |
Affiliation:
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St. Vincent Medical Center, Los Angeles, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Cardiopulmonary Bypass Female Humans Internal Mammary-Coronary Artery Anastomosis Male Middle Aged Myocardial Revascularization / methods* Reoperation Surgical Instruments Surgical Procedures, Minimally Invasive Thoracotomy / instrumentation, methods* Vascular Patency |
| Comments/Corrections | |
Comment In:
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Ann Thorac Surg. 2000 Mar;69(3):972
[PMID:
10750809
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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