Document Detail

A novel approach to coronary revascularization in patients with severely diseased aorta.
MedLine Citation:
PMID:  10928495     Owner:  NLM     Status:  MEDLINE    
Atheromatous disease of the aorta significantly increases morbidity and mortality during coronary revascularization. The surgical approach must be modified for patients in whom this condition is identified. In this report, we describe a technique that uses bilateral internal thoracic arteries as composite grafts with reverse saphenous veins. The operation is performed without cardiopulmonary bypass. We report the cases of 2 patients who underwent this procedure. Neither patient experienced signs or symptoms of atheromatous embolization, and there was no perioperative morbidity or mortality. Off-pump myocardial revascularization using bilateral internal thoracic arteries is an attractive surgical approach for patients who have atheromatous aortas or other conditions in which it is advantageous to avoid aortic manipulation, cannulation, cross-clamping, and cardiopulmonary bypass.
R Kalimi; L M Graver; R S Palazzo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  27     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2000  
Date Detail:
Created Date:  2000-12-07     Completed Date:  2000-12-07     Revised Date:  2013-04-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  106-9     Citation Subset:  IM    
Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, New York 11040, USA.
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MeSH Terms
Aortic Diseases / complications*
Arteriosclerosis / complications*
Cardiopulmonary Bypass
Internal Mammary-Coronary Artery Anastomosis / methods*
Myocardial Revascularization / methods*
Saphenous Vein / transplantation*

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