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

This Article Full Text 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 Author home page(s): Hiroshi Nishida Masahiro Endo Hitoshi Koyanagi Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Nishida, H. Articles by Nakamura, K. Search for Related Content PubMed PubMed Citation Articles by Nishida, H. Articles by Nakamura, K.

J Thorac Cardiovasc Surg 1994;108:532-539
© 1994 Mosby, Inc.

SURGERY FOR ACQUIRED HEART DISEASE

Coronary artery bypass grafting with the right gastroepiploic artery and evaluation of flow with transcutaneous Doppler echocardiography

Tokyo, Japan

Address for reprints: Hiroshi Nishida, MD, Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical College, 8-1 Kawadacho, Shinjuku-ku, Tokyo 162, Japan.

Abstract

From December 1988 to December 1992, 174 patients (160 men, 14 women, mean age 59.7 years, range 38 to 79 years) underwent coronary artery bypass grafting with the right gastroepiploic artery. The graft was anastomosed to the right coronary artery (n = 137), the circumflex artery (n = 18), the left anterior descending artery (n = 23), and the diagonal artery (n = 1). Three early deaths (1.7%) and one late death (0.6%) occurred. Graft patency and flow were evaluated noninvasively in 44 of the patients, selected at random between 1990 and 1993. They underwent transcutaneous Doppler echocardiographically to detect postoperative gastroepiploic artery flow. The patients were divided into two groups on the basis of the angiographic study: group I, good patency (n = 38); group II, poor flow in the graft or more than 75% stenosis of the anastomosis (n = 6). Biphasic Doppler flow signals were identified in 39 patients (88.6%) (group I, 35/38; group II, 4/6). The ratio of diastolic to total flow measured by time-velocity integral was 0.68±0.07 in group I and 0.32±0.09 in group II (p < 0.001). We conclude that the right gastroepiploic artery is an effective graft and that Doppler echocardiography may be a useful tool to noninvasively evaluate the patency and flow of the gastroepiploic artery graft as a coronary artery graft. (J THORAC CARDIOVASC SURG 1994;108:532-9)

This article has been cited by other articles:

				T. Eda, A. Matsuura, K. Miyahara, H. Takemura, S. Sawaki, T. Yoshioka, and N. Yoshida Transplantation of the Free Gastroepiploic Artery Graft for Myocardial Revascularization: Long-Term Clinical and Angiographic Results Ann. Thorac. Surg., March 1, 2008; 85(3): 880 - 884. [Abstract] [Full Text] [PDF]

				H. Nishida, Y. Tomizawa, M. Endo, and H. Kurosawa Survival Benefit of Exclusive Use of In Situ Arterial Conduits Over Combined Use of Arterial and Vein Grafts for Multiple Coronary Artery Bypass Grafting Circulation, August 30, 2005; 112(9_suppl): I-299 - I-303. [Abstract] [Full Text] [PDF]

				T. Shimizu, H. Suesada, M. Cho, S. Ito, K. Ikeda, and S. Ishimaru Flow Capacity of Gastroepiploic Artery Versus Vein Grafts for Intermediate Coronary Artery Stenosis Ann. Thorac. Surg., July 1, 2005; 80(1): 124 - 130. [Abstract] [Full Text] [PDF]

				H. Hirose, A. Amano, S. Takanashi, and A. Takahashi Coronary artery bypass grafting using the gastroepiploic artery in 1,000 patients Ann. Thorac. Surg., May 1, 2002; 73(5): 1371 - 1379. [Abstract] [Full Text] [PDF]

				H. S. Lee, Y. T. Kwak, Y. N. Youn, H. D. Park, and B. C. Chang Flow Competition of Right Gastroepiploic Artery Graft Asian Cardiovasc Thorac Ann, December 1, 2001; 9(4): 264 - 268. [Abstract] [Full Text] [PDF]

				H. Nishida, Y. Tomizawa, M. Endo, H. Koyanagi, and H. Kasanuki Coronary Artery Bypass With Only In Situ Bilateral Internal Thoracic Arteries and Right Gastroepiploic Artery Circulation, September 18, 2001; 104(90001): I-76 - 80. [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]

				M. Ochi, N. Hatori, M. Fujii, Y. Saji, S. Tanaka, and H. Honma Limited flow capacity of the right gastroepiploic artery graft: postoperative echocardiographic and angiographic evaluation Ann. Thorac. Surg., April 1, 2001; 71(4): 1210 - 1214. [Abstract] [Full Text] [PDF]

				T. Shimizu, T. Hirayama, H. Suesada, K. Ikeda, S. Ito, and S. Ishimaru Effect of flow competition on internal thoracic artery graft: Postoperative velocimetric and angiographic study J. Thorac. Cardiovasc. Surg., September 1, 2000; 120(3): 459 - 465. [Abstract] [Full Text] [PDF]

				H. Suma, T. Isomura, T. Horii, and T. Sato Late angiographic result of using the right gastroepiploic artery as a graft J. Thorac. Cardiovasc. Surg., September 1, 2000; 120(3): 496 - 498. [Abstract] [Full Text] [PDF]

				G. Tavilla, N. H.J. Pijls, E. Berreklouw, and K. H. Peels Noninvasive assessment of right gastroepiploic artery graft patency using transcutaneous color Doppler echocardiography Ann. Thorac. Surg., March 1, 1999; 67(3): 624 - 628. [Abstract] [Full Text] [PDF]

				N. Uchida and Y. Kawaue Flow Competition of the Right Gastroepiploic Artery Graft in Coronary Revascularization Ann. Thorac. Surg., November 1, 1996; 62(5): 1342 - 1346. [Abstract] [Full Text]