Document Detail

A novel technique of coronary revascularization in porcelain aorta: report of two cases.
MedLine Citation:
PMID:  18239876     Owner:  NLM     Status:  MEDLINE    
Severe atherosclerosis of the distal ascending aorta increases the risk of intraoperative stroke during coronary artery bypass. More than one in situ arterial graft is required to avoid aortic manipulation during proximal anastomosis. The application of bilateral internal thoracic arteries is a good choice, but it also carries the risk of sternal wound complications. Using a composite graft constructed with a partially harvested in situ right internal thoracic artery graft and another vascular conduit prevents extreme ischemia of the sternum. This study describes the experience of successful coronary revascularization using bilateral internal thoracic arteries and modified with a composite graft in two patients with a severely atherosclerotic ascending aorta.
Meng-Yu Wu; Pyng-Jing Lin; Yoa-Kuang Haung; Feng-Chun Tsai
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-02-01
Journal Detail:
Title:  Surgery today     Volume:  38     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2008  
Date Detail:
Created Date:  2008-02-01     Completed Date:  2008-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  157-60     Citation Subset:  IM    
Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung University, 5 Fushing Street, Gueishan Shiang, Taoyuan, Taipei, 333, Taiwan.
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MeSH Terms
Aged, 80 and over
Angina, Unstable / complications,  surgery
Aortic Diseases / complications,  surgery*
Atherosclerosis / complications,  surgery
Calcinosis / complications,  surgery*
Internal Mammary-Coronary Artery Anastomosis / methods*
Myocardial Infarction / complications,  surgery
Myocardial Ischemia / complications,  surgery*
Saphenous Vein / transplantation

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

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