| Vineberg's procedure modified technique: flow analysis, immediate postoperative results and angiographic evaluation. | |
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MedLine Citation:
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PMID: 16846415 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The purpose of this study was to evaluate angiographic results of patients subjected to a technique variation of Vineberg's procedure, as well as their morbidity and mortality in immediate postoperative period, and to analyze the flow of grafted left internal thoracic artery (LITA) at rest and under stress. METHODS: Between September 1999 and April 2002 eight patients were operated upon, with implant of the internal thoracic artery (ITA) in the intimal layer of the left ventricle (LV) muscle. After 6 months, they underwent angiographic and Doppler evaluation. According to Doppler study of LITA, the sample was divided in two groups: "Vineberg group," formed by eight patients; and "control group" consisting of 20 patients whose LITA directly revascularize the anterior interventricular artery (AIV). Angiography showed patency of all grafts in both groups. Blood flow and flow velocity in grafts were measured by Doppler echocardiography. T-test for paired and unpaired samples were used for statistical analysis. RESULTS: There were no deaths or complications in immediate postoperative period. Angiography showed 100% patency. The total flow (TF) of Vineberg group was 55% of the flow in the control group. In both groups, the TF increased with the stress. CONCLUSIONS: This Vineberg's technique modification can be successfully used in patients who cannot undergo traditional direct revascularization due to its low rates of morbidity and mortality and a high rate of patency, providing a significant blood flow both at rest and under stress. |
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Authors:
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José G Lobo Filho; Antonio J V Forte; Maria C A Leitão; Heraldo G Lobo Filho; André A Silva; João J A Machado |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of cardiac surgery Volume: 21 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 2006 Jul-Aug |
Date Detail:
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Created Date: 2006-07-18 Completed Date: 2006-12-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: United States |
Other Details:
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Languages: eng Pagination: 370-6 Citation Subset: IM |
Affiliation:
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ICORP, Dr. José Lourenço Street 625, Fortaleza, Ceará, Brazil. glaucolobo@uol.com.br |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Blood Flow Velocity* Coronary Angiography* Coronary Circulation* Echocardiography, Doppler Female Heart Ventricles / physiopathology, surgery Humans Internal Mammary-Coronary Artery Anastomosis / methods* Male Mammary Arteries / physiopathology, radiography, surgery, ultrasonography Middle Aged Treatment Outcome Tunica Intima / physiopathology, surgery Vascular Patency |
| Comments/Corrections | |
Comment In:
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J Card Surg. 2006 Jul-Aug;21(4):377-8
[PMID:
16846416
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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