| Off-pump total left anterior descending area re-vascularisation using left internal thoracic artery auto Y graft; angiographic early and 3-year follow-up results. | |
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MedLine Citation:
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PMID: 19643622 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: We evaluated the efficacy of a well-prepared left internal thoracic artery (LITA) auto Y graft for simultaneous left anterior descending artery (LAD) and diagonal artery (DA) re-vascularisation in selected patients for the reduction of the number of required grafts and improved graft patency, while limiting technical problems. METHODS: Twenty well-controlled diabetic patients, mean age 62.8+/-8.3, 17 males and three females, underwent isolated elective off-pump coronary artery bypass grafting using the LITA auto Y graft from July 2003 to August 2004. RESULTS: In-hospital data and angiographic results at 6 months after the surgery showed that there was no early mortality, early graft failure and major morbidity except for two cases of superficial wound infection. The 3-year follow-up results including angiographic findings (mean of 37+/-3.3-month follow-up) demonstrated that all patients are alive and have excellent graft patency in both the LAD and DA. Only two cases required right coronary artery (RCA) stenting during the follow-up period. Compared with our previous routine LITA composite Y graft technique, it is assumed that LITA auto Y graft technique may reduce the number of mobilised conduits or avoided sequential anastomosis. CONCLUSIONS: This small study showed that our technique is technically feasible and may be safely performed to the selective patients. The LITA auto Y graft might be an additional surgical option, in terms of not only preserving the other grafts and maintaining patency in the LAD area bypass, but also preventing the need for sequential anastomoses. |
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Authors:
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Kilsoo Yie; Si-Ho Kim; Jung-Hee Bang; Jong-Soo Woo; Chan-Young Na; Sam-Sae Oh |
Publication Detail:
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Type: Journal Article Date: 2009-07-29 |
Journal Detail:
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Title: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery Volume: 36 ISSN: 1873-734X ISO Abbreviation: Eur J Cardiothorac Surg Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8804069 Medline TA: Eur J Cardiothorac Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 1006-10 Citation Subset: IM |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kangwon National University, Clinical Research Institute of Kangwon National University Hospital, Chuncheon, South Korea. elpucco@kangwon.ac.kr |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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