Title of article :
Inverted T graft: novel technique using composite radial and internal thoracic arteries
Author/Authors :
Tadashi Tashiro، نويسنده , , Katsuhiko Nakamura، نويسنده , , Akio Iwakuma، نويسنده , , Ryuzi Zaitu، نويسنده , , Hidehiko Iwahashi، نويسنده , , Akira Murai، نويسنده , , Michio Kimura MD، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 1999
Pages :
3
From page :
629
To page :
631
Abstract :
Background. Multiple arterial revascularization is feasible because of the excellent long-term patency of the arterial grafts compared with venous grafts. We present a new operative technique for multiple arterial revascularization using composite radial and internal thoracic arterial grafts. Methods. Between January and September 1997, 12 patients had coronary artery bypass grafting with inverted graft. The indications for inverted graft were aortic calcification in 4 patients, repeat coronary artery bypass grafting in 1 patient, and total arterial revascularization in 7 young patients. The inverted graft was constructed by interconnecting the coronary arteries and radial artery with end-to-side and side-to-side anastomoses, and by anastomosing the internal thoracic artery to the side of radial artery. Results. Overall, 38 distal anastomoses (average number per patient, 3.2) were made with an inverted graft. There were no deaths or perioperative myocardial infarctions. Postoperative angiography disclosed that all of the anastomoses were patent. Conclusion. This technique allows multiple arterial revascularizations without technical difficulty. It is useful in patients with aortic calcification, repeat coronary artery bypass grafting patients, and young patients who are candidates for total arterial revascularization.
Journal title :
The Annals of Thoracic Surgery
Serial Year :
1999
Journal title :
The Annals of Thoracic Surgery
Record number :
615744
Link To Document :
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