| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 89, 163-169, Copyright © 1985 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
ML Kamath, LS Matysik, DH Schmidt and LL Smith
The internal mammary artery, when used as a conduit for coronary artery
bypass, offers a better long-term patency rate and survival rate than the
saphenous vein; however, its utility has been limited. Among other factors,
the availability of only two internal mammary arteries for anastomosis has
been a major limitation. In an attempt to overcome this limitation, we
constructed sequential internal mammary artery grafts in 87 patients. In 49
patients (Group I), only one internal mammary artery was used for
sequential anastomosis. In another 31 patients (Group II), one internal
mammary artery was used for sequential anastomosis and the other was used
for single end-to-side anastomosis. Both internal mammary arteries were
used in seven patients (Group III) for the construction of sequential
anastomoses. Postoperatively, 64 patients were evaluated by exercise stress
tests. None of these patients had a positive stress test although seven
patients (11%) had electrocardiographic changes that were considered
equivocal. Coronary angiography was performed in 35 of the 87 patients,
with 92 vein grafts and 90 internal mammary artery anastomotic sites
evaluated within 1 year of operation. A total of 83 vein grafts and 84
internal mammary artery anastomotic sites evaluated within 1 year of
operation. A total of 83 vein grafts and 84 internal mammary artery
anastomoses were found to be patent. Thus the patency rate for vein grafts
was 90% and for internal mammary artery grafts, 93%. During the follow-up
period (8 to 52 months), three patients died and one was lost to follow-up.
Among the remaining patients, 79 had complete relief from symptoms, three
had minimal symptoms, and one patient obtained no relief from symptoms.
Based on these results, we have concluded that the extended use of internal
mammary artery, constructing sequential anastomoses, is technically
feasible and provides adequate perfusion to the area of myocardium supplied
by such grafts.
ARTICLES
Sequential internal mammary artery grafts. Expanded utilization of an ideal conduit
This article has been cited by other articles:
|
|
 |
|
  J. A. Barra, E. Bezon, J. Mansourati, I. Rukbi, P. Mondine, and Y. Youssef Reimplantation of the right internal thoracic artery as a free graft into the left in situ internal thoracic artery (Y Procedure): One-year angiographic results J. Thorac. Cardiovasc. Surg., June 1, 1995; 109(6): 1042 - 1048. [Abstract] [Full Text]
|
|
|
|
 |
|
 L. C. H. John, C. L. H. Chan, and D. R. Anderson Potential use of the intercostal artery as an in situ graft: A cadaveric study Ann. Thorac. Surg., January 1, 1995; 59(1): 190 - 195. [Abstract] [PDF]
|
|
|
|
|
|
G. M. Palatianos, H. Bolooki, M. D. Horowitz, M. H. Lowery, S. P. Rosenthal, S. K. C. Chandarlapaty, G. N. Sfakianakis, and G. A. Kaiser Sequential internal mammary artery grafts for coronary artery bypass Ann. Thorac. Surg., November 1, 1993; 56(5): 1136 - 1140. [Abstract] [PDF]
|
|
|
|
|
|
D. L. Galbut, E. A. Traad, M. J. Dorman, P. L. DeWitt, P. B. Larsen, P. A. Kurlansky, J. H. Button, J. M. Ally, and T. O. Gentsch Seventeen-year experience with bilateral internal mammary artery grafts Ann. Thorac. Surg., February 1, 1990; 49(2): 195 - 201. [Abstract] [PDF]
|
|
|
|
|
|
A. C. Fiore, K. S. Naunheim, P. Dean, G. C. Kaiser, D. G. Pennington, V. L. Willman, L. R. McBride, and H. B. Barner Results of internal thoracic artery grafting over 15 years: Single versus double grafts Ann. Thorac. Surg., February 1, 1990; 49(2): 202 - 209. [Abstract] [PDF]
|
|
|
|
|
|
E. L. Jones, O. Lattouf, J. F. Lutz, and S. B. King III Important Anatomical and Physiological Considerations in Performance of Complex Mammary-Coronary Artery Operations Ann. Thorac. Surg., May 1, 1987; 43(5): 469 - 477. [Abstract] [PDF]
|
|
|
|
|
|
G. H. Almassi, P. H. Werner, and R. J. Flemma Coronary Artery Bypass Grafting in Chronic Lymphocytic Leukemia Ann. Thorac. Surg., May 1, 1987; 43(5): 574 - 574. [PDF]
|
|
|
|
|
|
A. J. Tector Fifteen Years' Experience with the Internal Mammary Artery Graft Ann. Thorac. Surg., December 1, 1986; 42(6_suppl_1): S22 - S27. [Abstract] [PDF]
|
|
|
|
|
|
C. B. Huddleston, W. S. Stoney, W. C. Alford Jr., G. R. Burrus, D. M. Glassford Jr., J. W. Lea IV, M. R. Petracek, and C. S. Thomas Jr. Internal Mammary Artery Grafts: Technical Factors Influencing Patency Ann. Thorac. Surg., November 1, 1986; 42(5): 543 - 549. [Abstract] [PDF]
|
|
|
|
|
|
T. B. Ferguson Jr., T. Hinohara, J. Simpson, R. S. Stack, and A. S. Wechsler Catheter Reperfusion to Allow Optimal Coronary Bypass Grafting Following Failed Transluminal Coronary Angioplasty Ann. Thorac. Surg., October 1, 1986; 42(4): 399 - 405. [Abstract] [PDF]
|
|
|
|
|
|
M. Fischler, F. Pluskwa, G. Vourc'h, F. Bonnet, C. L. Dubois, D. Brodaty, and D. Guilmet Changes in Intrathoracic Pressures Induced by Positive End-Expiratory Pressure Ventilation after Cardiac Surgical Procedures Ann. Thorac. Surg., October 1, 1986; 42(4): 406 - 411. [Abstract] [PDF]
|
|
|
|
|
|
L. R. Sauvage, H.-D. Wu, T. E. Kowalsky, C. C. Davis, J. C. Smith, E. A. Rittenhouse, D. G. Hall, P. B. Mansfield, S. R. Mathisen, Y. Usui, et al. Healing Basis and Surgical Techniques for Complete Revascularization of the Left Ventricle Using Only the Internal Mammary Arteries Ann. Thorac. Surg., October 1, 1986; 42(4): 449 - 465. [Abstract] [PDF]
|
|
|
|
|
|
R. N. Singh, R. A. Beg, and E. B. Kay Physiological Adaptability: The Secret of Success of the Internal Mammary Artery Grafts Ann. Thorac. Surg., March 1, 1986; 41(3): 247 - 250. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
