Document Detail

Off-pump obtuse marginal grafting with local stabilization: thoracotomy approach in reoperations.
MedLine Citation:
PMID:  10509989     Owner:  NLM     Status:  MEDLINE    
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.
F J Baumgartner; A Gheissari; G P Panagiotides; E R Capouya; R J Declusin; T Yokoyama
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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    
St. Vincent Medical Center, Los Angeles, USA.
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MeSH Terms
Aged, 80 and over
Cardiopulmonary Bypass
Internal Mammary-Coronary Artery Anastomosis
Middle Aged
Myocardial Revascularization / methods*
Surgical Instruments
Surgical Procedures, Minimally Invasive
Thoracotomy / instrumentation,  methods*
Vascular Patency
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

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