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Right arrow Coronary disease

J Thorac Cardiovasc Surg 2005;129:1180-1182
© 2005 The American Association for Thoracic Surgery

Brief Communications

Reimplantation of a left internal thoracic artery during repeat coronary artery revascularization: Early and midterm results

Miralem Pasic, MD, PhD*, Peter Müller, MD, Peter Bergs, MD, Ilirijana Karabdic, MD, Wolfgang Ruisz, MD, Michael Hofmann, MD, Roland Hetzer, MD, PhD

Deutsches Herzzentrum Berlin, Berlin, Germany.

Received for publication September 20, 2004; accepted for publication September 27, 2004.

* Address for reprints: Professor Miralem Pasic, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, D-13353 Berlin, Germany (E-mail: pasic@dhzb.de).

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

When used as an aorta-coronary bypass graft, the left internal thoracic artery (LITA) might remain open, despite significant restriction of flow through the graft. Potentially, a patent but nonfunctioning LITA might be reharvested and reused for repeat coronary artery bypass surgery (so-called LITA recycling). We report on our experience with successful reimplantation of the LITA during redo bypass surgery in 12 patients.

Patients and methods

Between 1997 and 2003, the LITA was reharvested and reinserted in 12 patients undergoing repeat coronary artery bypass grafting. There were 3 women and 9 men. The mean ± SD age of the patients was 64 ± 7 years (range, 53–74 years). Written informed consent was obtained from all patients. The patients’ mean left ventricular ejection fraction was 38% ± 16% (range, 25%-60%). The patent but nonfunctioning LITA was reused only if preoperative coronary angiography showed that the diameter of the LITA lumen was normal or almost normal. . . . [Full Text of this Article]




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[Abstract] [Full Text] [PDF]


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