HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by van Sterkenburg, S. M. Articles by Vermeulen, F. E. Search for Related Content PubMed PubMed Citation Articles by van Sterkenburg, S. M. Articles by Vermeulen, F. E.

The Journal of Thoracic and Cardiovascular Surgery, Vol 104, 60-65, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Triple sequential grafts using the internal mammary artery. An angiographic and short-term follow-up study

SM van Sterkenburg, SM Ernst, A Brutel de la Riviere, JA Defauw, RP Hamerlynck, PJ Knaepen, HA van Swieten and FE Vermeulen
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.

Between December 1984 and December 1988, coronary artery bypass operations, involving the use of 119 sequential internal mammary artery grafts with three or more anastomoses per conduit, were performed in 116 patients. Patients included 14 women and 102 men, with a mean age of 60 years. They received a total of 629 anastomoses; 373 anastomoses were used in multiple sequential arterial bypass grafts; 116 sequential left and three right internal mammary artery jump grafts were performed. There were 27 patients with bilateral internal mammary artery grafts, but only 17 had completely arterial revascularizations. Perioperative infarction occurred in 3.4% of the patients; 1.7% of infarctions were related to sequential internal mammary artery grafts. There were no hospital deaths. Control angiography was performed within a month of the operation in 72 patients (with 371 anastomoses, of which 229 were in sequential arterial bypass grafts). The overall patency rate was 94.6%, and for the internal mammary artery sequential graft with three or more anastomoses it was 96.1%. The mean follow-up period was 13 months; 110 patients were in New York Heart Association class I; there was one non-cardiac-related death, and three patients (2.6%) had a late myocardial infarction. One was related to the area revascularized by the sequential internal mammary artery graft. Multiple sequential internal mammary artery bypass grafts in coronary artery disease are feasible, with a high short-term patency and a low perioperative morbidity and mortality.

This article has been cited by other articles:

				W. J. L. Suyker, M. P. Buijsrogge, P. T. W. Suyker, C. W. J. Verlaan, C. Borst, and P. F. Grundeman Stapled coronary anastomosis with minimal intraluminal artifact: The S2 Anastomotic System in the off-pump porcine model J. Thorac. Cardiovasc. Surg., February 1, 2004; 127(2): 498 - 503. [Abstract] [Full Text] [PDF]

				M. Ochi, R. Bessho, Y. Saji, M. Fujii, N. Hatori, and S. Tanaka Sequential grafting of the right gastroepiploic artery in coronary artery bypass surgery Ann. Thorac. Surg., April 1, 2001; 71(4): 1205 - 1209. [Abstract] [Full Text] [PDF]

				R. Dion, D. Glineur, D. Derouck, R. Verhelst, P. Noirhomme, G. El Khoury, E. Degrave, and C. Hanet Long-term clinical and angiographic follow-up of sequential internal thoracic artery grafting Eur. J. Cardiothorac. Surg., April 1, 2000; 17(4): 407 - 414. [Abstract] [Full Text] [PDF]

				H. I. Manninen, P. Jaakkola, M. Suhonen, S. Rehnberg, R. Vuorenniemi, and P. J. Matsi Angiographic predictors of graft patency and disease progression after coronary artery bypass grafting with arterial and venous grafts Ann. Thorac. Surg., October 1, 1998; 66(4): 1289 - 1294. [Abstract] [Full Text] [PDF]

				J. G. Grandjean, A. A. Voors, P. W. Boonstra, P. d. Heyer, and T. Ebels EXCLUSIVE USE OF ARTERIAL GRAFTS IN CORONARY ARTERY BYPASS OPERATIONS FOR THREE-VESSEL DISEASE: USE OF BOTH THORACIC ARTERIES AND THE GASTROEPIPLOIC ARTERY IN 256 CONSECUTIVE PATIENTS J. Thorac. Cardiovasc. Surg., October 1, 1996; 112(4): 935 - 942. [Abstract] [Full Text]

				A. A. Voors, B. L. van Brussel, H.W. Thijs Plokker, S. M.P.G. Ernst, N. M. Ernst, E. M. Koomen, J. G.P. Tijssen, and F. E.E. Vermeulen Smoking and Cardiac Events After Venous Coronary Bypass Surgery : A 15-Year Follow-up Study Circulation, January 1, 1996; 93(1): 42 - 47. [Abstract] [Full Text]

				O. Jegaden, A. Eker, P. Montagna, J. Ossette, G. De Gevigney, G. Finet, A. S. Pierre, D. Revel, R. Itti, and P. H. Mikaeloff Risk and Results of Bypass Grafting Using Bilateral Internal Mammary and Right Gastroepiploic Arteries Ann. Thorac. Surg., April 1, 1995; 59(4): 955 - 960. [Abstract] [Full Text]

				J. P. Gold, R. J. Shemin, V. J. DiSesa, L. H. Cohn, and J. J. Collins Jr. Triple sequential grafts using the internal mammary artery: An angiographic and short-term follow-up study J. Thorac. Cardiovasc. Surg., May 1, 1994; 107(5): 1377 - 1378. [Full Text]

				G.-W. He, W. H. Ryan, T. E. Acuff, R. T. Bowman, M. B. Douthit, C.-Q. Yang, and M. J. Mack Risk factors for operative mortality and sternal wound infection in bilateral internal mammary artery grafting J. Thorac. Cardiovasc. Surg., January 1, 1994; 107(1): 196 - 202. [Abstract] [Full Text]