Off-pump obtuse marginal grafting with local stabilization: thoracotomy approach in reoperations. | |
MedLine Citation:
|
PMID: 10509989 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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:
|
F J Baumgartner; A Gheissari; G P Panagiotides; E R Capouya; R J Declusin; T Yokoyama |
Related Documents
:
|
16352279 - Arterial conduits update. 11551879 - Significance of chymase-dependent angiotensin ii-forming pathway in the development of ... 8079189 - Recurrence of cystic adventitial disease in an interposed vein graft. 6610349 - Progression of atherosclerosis in coronary arteries and bypass grafts: ten years later. 15063259 - Cannulation of the axillary artery with a side graft reduces morbidity. 542819 - The sleeve anastomosis in clinical microsurgery. case report. 20808629 - Supracardiac anomalous pulmonary venous connection with unilateral pulmonary venous atr... 19073539 - The cuff technique for reconstructing an isolated left vertebral artery in total arch-r... 14506829 - Complete femoral artery transection from blunt trauma. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 68 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1999 Sep |
Date Detail:
|
Created Date: 1999-10-15 Completed Date: 1999-10-15 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 946-8 Citation Subset: AIM; IM |
Affiliation:
|
St. Vincent Medical Center, Los Angeles, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
MeSH Terms | |
Descriptor/Qualifier:
|
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:
|
Ann Thorac Surg. 2000 Mar;69(3):972
[PMID:
10750809
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Economic evaluation of high-dose and low-dose aprotinin therapy during cardiopulmonary bypass.
Next Document: Does dilatation of the sinotubular junction cause aortic regurgitation?