Document Detail

Total arterial coronary revascularization using arterial bypass circle with multiple inflows.
MedLine Citation:
PMID:  17462439     Owner:  NLM     Status:  MEDLINE    
Coronary artery bypass techniques, currently applied to maximize the benefits of multiple arterial coronary conduits, render the newly constructed myocardial flow dependent on a single source "inflow" of blood. We describe a technique for total arterial coronary revascularization with multiple inflows; the distal end of the pedicled right internal thoracic artery is anastomosed to the distal end of a free radial artery, and the other end of the radial artery is then connected to the ascending aorta. This vascular circle, passed in a retro-cardiac fashion, is used to revascularize the inferio-lateral surface of the heart using multiple side-to-side anastomoses. The "sacred" left internal thoracic artery is reserved to revascularize the anterior wall of the myocardium, independent of the arterial circle.
Reida M El Oakley; Hamad F Al Habib
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  83     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-27     Completed Date:  2007-05-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1911-2     Citation Subset:  AIM; IM    
Department of Cardiac Surgery, Prince Salman Heart Center, Riyadh, Kingdom of Saudi Arabia.
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MeSH Terms
Anastomosis, Surgical
Coronary Stenosis / surgery
Internal Mammary-Coronary Artery Anastomosis / methods*
Mammary Arteries / surgery*
Radial Artery / transplantation*

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