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J Thorac Cardiovasc Surg 2004;128:629-631
© 2004 The American Association for Thoracic Surgery

Brief communication

Transit-time flow measurement cannot detect wrong anastomosis of an internal thoracic artery with the cardiac vein in coronary artery surgery

Yoshiyuki Takami, MDa,*, Hiroshi Masumoto, MD

a Division of Cardiovascular Surgery, Kasugai Municipal Hospital, Kasugai, Japan

Received for publication January 29, 2004; accepted for publication February 23, 2004.

* Address for reprints: Yoshiyuki Takami, MD, Division of Cardiovascular Surgery, Kasugai Municipal Hospital, 1-1-1 Takagi-cho, Kasugai City 486-8510 Japan
cvs@hospital.kasugai.aichi.jp

The first 20% of the full text of this article appears below.

In coronary artery surgery transit-time flow measurement is useful to determine graft patency and to detect graft failure intraoperatively. Previous reports have demonstrated the accuracy and reproducibility of this noninvasive and simple procedure.1-5 In this report, however, we describe a case of wrong anastomosis of the left internal thoracic artery (LITA) with the cardiac vein, which could not be detected with transit flow measurement.

Clinical summary

A 72-year-old man with effort angina was referred for coronary artery surgery. His coronary angiograms revealed occlusion of the distal right coronary artery and significant stenosis of the left main stem, the proximal left anterior descending artery, and the proximal left circumflex artery. He underwent triple coronary artery bypass grafting during cardiopulmonary bypass. The LITA was grafted to the left anterior descending artery, the left radial artery to the obtuse marginal . . . [Full Text of this Article]




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