| The efficacy and safety of additional bypass graft during isolated coronary artery bypass grafting. | |
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MedLine Citation:
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PMID: 12027797 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In 19 patients with an undesirable hemodynamic condition (n=15) or with regional asynergy and coexistent ST-T change (n=4) during isolated coronary artery bypass grafting (CABG) surgery, one (n=17) or two (n=3) additional saphenous vein grafts were placed onto left anterior descending (LAD) (n=16), right (n=4), and left circumflex (LCx) (n=2) coronary arteries. Diagnosis of the cause of the suboptimal condition was insufficient graft flow in 16 patients, and spasm of the ungrafted coronary artery in 3. Additional myocardial ischemic time was 17 9 minutes, and the graft flow was 59 25 ml/min. Additional bypass was effective in 94.5%. Eighteen patients could be weaned from cardiopulmonary bypass, and 17 (89.5%) survived and were discharged from hospital. Median duration of mechanical ventilatory support and intensive care unit stay was 15 hours and 4 days, respectively. During 63 44 months follow-up, the additional graft was occluded and the treadmill test was positive for ischemia in 2 patients, and one child patient is now considered for redo CABG. Placement of additional bypass grafts thus appeared to be an effective and relatively safe strategy, although the decision has to be made cautiously. |
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Authors:
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Kazuhito Imanaka; Shunei Kyo; Masayuki Ishikawa; Uki Kobayashi; Yuji Yokote; Haruhiko Asano; Hiroaki Tanabe; Hiroshi Ohuchi; Masanori Ogiwara; Masaaki Kato |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: 8 ISSN: 1341-1098 ISO Abbreviation: Ann Thorac Cardiovasc Surg Publication Date: 2002 Apr |
Date Detail:
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Created Date: 2002-05-24 Completed Date: 2002-07-12 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 102-5 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Saitama Medical school, Moroyama-machi, Iruma-gun, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Arteries / transplantation Cardiopulmonary Bypass / mortality Child Coronary Angiography Coronary Artery Bypass* / mortality Coronary Vessels / transplantation Electrocardiography Exercise Test Female Follow-Up Studies Graft Occlusion, Vascular / etiology, surgery Hemodynamics / physiology Hospital Mortality Humans Male Middle Aged Reoperation* / mortality Safety* Survival Analysis Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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