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The Annals of Thoracic Surgery, Vol 58, 185-190, Copyright © 1994 by The Society of Thoracic Surgeons
AM Calafiore, G Di Giammarco, N Luciani, N Maddestra, E Di Nardo and R Angelini
From October 1991 to May 1993, 130 patients were submitted to myocardial
revascularization using complex preformed arterial conduits. The age ranged
from 29 to 75 years (mean age, 60.1 years); 121 patients were male. One
hundred twenty-six patients had double- or triple-vessel disease. The mean
ejection fraction was 0.53 (range, 0.22 to 0.79); only 6 patients had an
ejection fraction less than 0.35. In 6 cases the procedure was a
reoperation. We used 360 arterial conduits, 163 of which as free grafts (3
left internal mammary arteries, 16 right internal mammary arteries, 86
inferior epigastric arteries, 57 radial arteries, and 1 right
gastroepiploic artery). One hundred fifty-four free grafts were anastomosed
to one or both internal mammary arteries and one to a radial artery. We
constructed 136 complex arterial conduits (branched, lengthened, or both).
In 6 cases a double arterial system had to be used in a single patient.
There was no operative mortality, and no inotropic or mechanical supports
were used. The overall mortality rate was 1.5%. Early angiographic controls
(between the 7th and 15th postoperative days) demonstrated 100% patency;
late angiographic controls (at a mean interval of 9.5 months after
operation) documented a mean patency rate ranging from 94.1% of the radial
arteries to 100% of the left internal mammary arteries and right
gastroepiploic arteries. At a mean follow-up of 7.2 months (range, 1 to 15
months) all patients are alive without recurrence of symptoms.
ARTICLES
Composite arterial conduits for a wider arterial myocardial revascularization
Cattedra di Cardiochirurgia, Universita di Chieti, Italy.
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A. G. Royse, C. F. Royse, K. L. Groves, and G. Yu Blood flow in composite arterial grafts and effect of native coronary flow Ann. Thorac. Surg., November 1, 1999; 68(5): 1619 - 1622. [Abstract] [Full Text] [PDF]
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A. M. Calafiore, G. Vitolla, A. L. Iaco, C. Fino, G. Di Giammarco, F. Marchesani, G. Teodori, G. D'Addario, and V. Mazzei Bilateral internal mammary artery grafting: midterm results of pedicled versus skeletonized conduits Ann. Thorac. Surg., June 1, 1999; 67(6): 1637 - 1642. [Abstract] [Full Text] [PDF]
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O. Wendler, D. Tscholl, Q. Huang, and H.-J. Schafers Free flow capacity of skeletonized versus pedicled internal thoracic artery grafts in coronary artery bypass grafts Eur. J. Cardiothorac. Surg., March 1, 1999; 15(3): 247 - 250. [Abstract] [Full Text] [PDF]
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