Document Detail


Risk and results of bypass grafting using bilateral internal mammary and right gastroepiploic arteries.
MedLine Citation:
PMID:  7695424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From January 1990 to June 1994, 240 patients (mean age, 60 +/- 10 years) underwent myocardial revascularization with the exclusive use of in situ bilateral internal mammary and right gastroepiploic arteries. Left ventricular function was normal in 34% of patients, moderately impaired in 58.5%, and severely impaired in 7.5%. The mean number of distal anastomoses was 3.5 +/- 0.7 and the rate of complete myocardial revascularization was 80%. Early mortality was 0.4%, and complications occurred in 20 patients: myocardial infarction, 1.6%; intraaortic balloon pump, 0.8%; reoperation for bleeding, 0.8%; and mediastinitis, 0.4%. Early (15th postoperative day) angiographic control of grafts was performed in 51 patients; the rate of functional and patent anastomoses was 100% for internal mammary arteries and 96% for gastroepiploic arteries. Early functional results (3 +/- 1 postoperative months) were studied in 141 patients during exercise test with medical treatment: 99% were symptom-free and 14% had ischemic modification of electrocardiograms. A 2-year postoperative functional assessment without medical treatment was performed during exercise test in 66 patients: 98% were symptom-free and 26% had ischemic modification of electrocardiograms; during the same procedure, thallium myocardial scintigraphy was obtained in 50 patients and 18 patients had moderate ischemic defect on exercise. Ischemic modifications of electrocardiograms and defects seen on thallium scintigraphy were correlated significantly with incomplete revascularization (p < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
O Jegaden; A Eker; P Montagna; J Ossette; G De Gevigney; G Finet; A Saint Pierre; D Revel; R Itti; P H Mikaeloff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  59     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-04-24     Completed Date:  1995-04-24     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:  955-60     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiovascular Surgery, Hopital Cardiologique Louis Pradel, Lyon, France.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Muscles / blood supply*
Adult
Aged
Aged, 80 and over
Arteries / transplantation
Cause of Death
Female
Follow-Up Studies
Humans
Male
Middle Aged
Morbidity
Myocardial Ischemia / radionuclide imaging
Myocardial Revascularization / methods*,  mortality
Vascular Patency

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


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