Coronary artery disease in young patients (< 40 years) is not common. However, when it
|
|
|
- Augustine Parrish
- 5 years ago
- Views:
Transcription
1 Focused Issue of This Month Coronary Artery Disease and Coronary Artery Bypass Surgery in Patients of Middle Age YoungTak Lee, MDWook Sung Kim, MD Department of Cardiovascular Surgery, Sungkyunkwan University School of Medicine ytlee@yahoo.com J Korean Med Assoc 2008; 51(4): Abstract Coronary artery disease in young patients (< 40 years) is not common. However, when it occurs it has symptoms that are more frequent and a more rapid progression when compared to older affected patients. Younger patients are more likely to have normal coronary arteries and have nonobstructive disease < 70%, singlevessel disease and less extensive coronary artery atherosclerosis. Therefore, it is likely that there are differences in the cardiac risk factors in young patients undergoing coronary artery bypass surgery. Smoking, hypercholesterolemia, unstable angina, and myocardial infarction were more frequent in the young age group, and diabetes and hypertension were more common in older patients. The need for repeated interventions, additional surgery andlate myocardial infarction were more common in younger patients. Favorable factors associated with increased survival included the absence of unstable angina, a left ventricle ejection fraction of =45% and the use of the internal thoracic artery for procedures. The patency of saphenous vein grafts in younger patients was inferior to vein graft patency in the older patients. Risk factors such as hyperlipidemia, smoking and a family history of coronary artery disease may be related to the early graft failure in young patients. The patency of the internal thoracic artery to the left anterior descending artery was above 90% over 10 years; however, it was around 50% for the saphenous vein. Therefore, the aggressive use of internal thoracic arteries, for coronary artery bypass surgery in young patients, was essential for improved late survival and the event free survival (reduced additional interventions, surgeries and hospital admissions). The Y composite graft technique or sequential anastomosis, improves the coronary artery anastomosis with fewer arterial grafts. Other arterial grafts such as the gastroepiploic artery, radial artery and inferior epigastric artery could be used for coronary artery bypass surgery in young patients for free grafts, in situ grafts or Ycomposite grafts. Young patients that have coronary artery bypass surgery have a favorable prognosis when the internal thoracic arteries or other arterial grafts are used. In addition, such as the Ycomposite graft technique and sequential anastomosis can also be used with a high success rate. Keywords : Coronary artery bypass grafting; Young age 327
2 Lee YT Kim WS Table 1. Arterial grafts for coronary artery bypass surgery Left internal thoracic artery (LITA) Right internal thoracic artery (RITA) Radial artery (RA) Right gastroepiploic artery (RGEA) Inferior epigastric artery (IEA) Table 2. Techniques of wider use of arterial grafts Y composite graft Sequential graft Other composite graft 328
3 Coronary Artery Disease and Bypass Surgery A B C Figure 1. Variable techniques of total arterial revascularization. (A) In situ LITA to left anterior descending artery (LAD), in situ RITA to distal right coronary artery (RCA), in situ GEA to posterolateral branch or obtuse marginal (OM) branch (B) In situ RITA to LAD, in situ LITA to OM (C) Ycomposite graft LITA to LAD, RITA (from LITA) to OM to PDA ( sequential anastomosis) Figure 2. Endoscopic harvesting of radial artery. 329
4 Lee YT Kim WS Figure 3. Composite graft LITA with RITA, or LITA with radial artery. 330
5 Coronary Artery Disease and Bypass Surgery D B C A A. Left anterior small thoracotomy B. Lower partial sternotomy C. Subxiphoid approach D. Subcostal approach (tranabdominal MIDCAB) Figure 4. Various incision lines in minimally invasive coronary artery bypass grafting. LCX LCX LAD Figure 5. Reimplantation technique of Left coronary artery to left coronary sinus (26). D D LAD P P A A S S A B 331
6 Lee YT Kim WS LCA orifice RCA orifice LCC, RCC commisure Figure 6. Unroofing of intramural right coronary artery in the aorta. 332
7 Coronary Artery Disease and Bypass Surgery 11. Zimmerman FH, Cameron F, Fisher LD, Ng G. Myocardial infarction in young adults: angiographic characterization, risk factors and prognosis (coronary artery surgery study registry). J Am Coll Cardiol 1995; 26: Kannel WB, Abbott RD. Incidence and prognosis of unrecognized myocardial infarction. N Engl J Med 1984; 311: Mosca L. Estrogen and Atherothrombosis. In: Fuster V, Topol EJ, Nabel EG. Atherothrombosis & coronary artery disease. Philadelphia: Lippincott Williams and Wilkins, 2005: Uddin SN, Siddiqui NI, Bagum F, Malik F, Rahman S, Ali MS. Coronary artery disease in young adultsangiographic profile. Mymensingh Med J 2004; 13: RohrerGubler I, Niederhauser U, Turina MI. Late outcome of coronary artery bypass grafting in young versus older patients. Ann Thorac Surg 1998; 65: Graziosi GC, Wolterbeek DW, Kappetein AP, Huysmans HA. Risk factors in coronary artery bypass surgery for patients 40 years of age and younger. Thorac Cardiovasc Surg 1994; 42: Malinowski M, Mrozek R, Twardowski R, Malinowski M, Mrozek R, Twardowski R, Biernat J, Deja MA, Widenka K, Dalecka AM, KobieluszGembala I, Janusiewicz P, Wos S, Golba KS. Left internal mammary artery improves 5year survival in patients under 40 subjected to surgical revascularization. Heart Surg Forum 2006; 9: E Samuels LE, Sharma S, Kaufman MS, Morris RJ, Brockman SK. Coronary artery bypass grafting in patients in their third decade of life. J Card Surg 1996; 11:
8 Lee YT Kim WS 19. Kelly TF, Craver JM, Jones EL, Hatcher CRJ. Coronary revascularization in patients 40 years and younger: survival experience and longterm followup. Am Surg 1978; 44: Lytle BW, Loop LD. Coronary artery bypass grafting in young adults. Chest 1987; 91: van Son JAM, Smedts F, Vincent JG, van Lier HJJ, Kubat K. Comparative anatomic studies of various arterial conduits for myocardial revascularization. J Thorac Cardiovasc Surg 1990; 99: Li XN, Stulz P, Siebenmann PP, Li XN, Stulz P, Siebenmann RP, Yang Z, Lüscher TF. Different effects of activated platelets in the right gastroepiploic and internal mammary arteries. J Thorac Cardiovasc Surg 1992; 104: Rosenfeldt FL, He GW, Buxton BF, Angus JA. Pharmacology of coronary artery bypass grafts. Ann Thorc Surg 1999; 67: Tector AJ, Amundsen S, Schmahl TM et al. Total revas-cularization with T grafts. Ann Thorac Surg 1994; 57: Pick AW, Orszulak TA, Anderson BJ et al. Single versus bilateral internal mammary artery grafts: 10 year outcome analysis. Ann Thorac Surg 1997; 64: Lytle BW,Blackstone EH, Loop FD. Two internal thoracic artery grafts are better than one. J Thorac Cardiovasc Surg 1999; 117: Pym J, Brown PM, Charrette EJ, Parker JO, West RO. Gastroepiploiccoronary anastomosis. A viable alternative bypass graft. J Thorac Cardiovasc Surg 1997; 94: Acar C, Jebara VA, Portoghese M Acar C, Jebara VA, Portoghese M, Beyssen B, Pagny JY, Grare P, Chachques JC, Fabiani JN, Deloche A, Guermonprez JL. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg 1992; 54: Maniar HS, Sundt TM, Barner HB, Maniar HS, Sundt TM, Barner HB, Prasad SM, Peterson L, Absi T, Moustakidis P. Effect of target stenosis and location on radial artery graft patency. J Thorac Cardiovasc Surg 2002; 123: Sauvage LR, Wu H, Kowalsky TE, Sauvage LR, Wu HD, Kowalsky TE, Davis CC, Smith JC, Rittenhouse EA, Hall DG, Mansfield PB, Mathisen SR, Usui Y. Healing basis and surgical techniques for complete revascularization of the left ventricle using only the internal mammary arteries. Ann Thorac Surg 1986; 57: Tector A, McDonald ML, Kress DC, Downey FX, Schmahl TM. Purely internal thoracic artery grafts: outcomes. Ann Thorac Surg 2001; 72: Calafiore AM, Di Giammarco G. Complete revascularization with three or more arterial conduits. Sem Thorac Cardiovasc Surg 1996; 8: Mavroudis C, Backer CL, Muster AJ, Mavroudis C, Backer CL, Muster AJ, Pahl E, Sanders JH, Zales VR, Gevitz M. Expanding indications for pediatric coronary artery bypass. J Thorac Cardiovasc Surg 1996; 111: Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive atheletes. J Am Coll Cardiol 2000; 35: Ghosh PK. Anomalous origin of the right coronary artery. Eur J Cardiothorac Surg 1997; 12: Daehnert I, Rotzsch C, Krause S, Dorszewski A, Kostelka M. Synconpe in a child owing to intramural course of the left coronary artery. Acta Paediatr 2003; 92: Peer Reviewers Commentary 334
Importance of the third arterial graft in multiple arterial grafting strategies
Research Highlight Importance of the third arterial graft in multiple arterial grafting strategies David Glineur Department of Cardiovascular Surgery, Cliniques St Luc, Bouge and the Department of Cardiovascular
Mario Gaudino*, Francesco Alessandrini, Claudio Pragliola, Carlo Cellini, Franco Glieca, Nicola Luciani, Fabiana Girola, Gianfederico Possati
European Journal of Cardio-thoracic Surgery 25 (2004) 424 428 www.elsevier.com/locate/ejcts Effect of target location and severity of stenosis on mid-term patency of aorta-anastomosed vs. internal thoracic
Potential Use of the Intercostal Artery as an In Situ Graft: A Cadaveric Study
Potential Use of the Intercostal Artery as an In Situ Graft: A Cadaveric Study Lindsay C. H. John, FRCS, Christopher L. H. Chan, MB, BS, and David R. Anderson, FRCS Department of Cardiothoracic Surgery,
The most important advantage of CABG over PTCA is its
Coronary Artery Bypass With Only In Situ Bilateral Internal Thoracic Arteries and Right Gastroepiploic Artery Hiroshi Nishida, MD; Yasuko Tomizawa, MD; Masahiro Endo, MD; Hitoshi Koyanagi, MD; Hiroshi
Improved long-term survival has been demonstrated by
Benefit of Bilateral Over Single Internal Mammary Artery Grafts for Multiple Coronary Artery Bypass Grafting Masahiro Endo, MD; Hiroshi Nishida, MD; Yasuko Tomizawa, MD; Hiroshi Kasanuki, MD Background
The use of both the left and right internal thoracic arteries (ITAs) for revascularization
Angiographic evidence for reduced graft patency due to competitive flow in composite arterial T-grafts Dmitry Pevni, MD, a Itzhak Hertz, MD, b Benjamin Medalion, MD, c Amir Kramer, MD, a Yosef Paz, MD,
CONTEMPORARY USE OF ARTERIAL GRAFTS DURING CORONARY ARTERY BYPASS SURGERY: PARADIGM SHIFT? OR A LITTLE (MORE) TALK THAT NEEDS A LOT MORE ACTION
CONTEMPORARY USE OF ARTERIAL GRAFTS DURING CORONARY ARTERY BYPASS SURGERY: PARADIGM SHIFT? OR A LITTLE (MORE) TALK THAT NEEDS A LOT MORE ACTION JAMES L ZELLNER MD I have no financial disclosures. 1897
The clinical and prognostic benefits of coronary artery bypass grafting (CABG)
ORIGINAL ARTICLE Total arterial myocardial revascularization: analysis of initial experience Shahzad Gull Raja, MRCS; Zulfiqar Haider, FRCS; Haider Zaman, FRCS (CTh); Mukhtar Ahmed, FRCS BACKGROUND: Total
Anomalous Left Main Coronary Artery: Not Always a Simple Surgical Reimplantation
Cardiol Ther (2015) 4:77 82 DOI 10.1007/s40119-015-0039-x CASE REPORT Anomalous Left Main Coronary Artery: Not Always a Simple Surgical Reimplantation Asif H. Khan. Ian B. A. Menown. Alastair Graham. John
The incidence of failure of saphenous vein grafts in the
The Radial Artery in Coronary Surgery: A 5-Year Experience Clinical and Angiographic Results James Tatoulis, FRACS, Alistair G. Royse, FRACS, Brian F. Buxton, FRACS, John A. Fuller, FRACP, Peter D. Skillington,
Post Harvest Wound Infection and Patient s Perception: Comparative Study between Radial Artery and Saphenous Vein Harvest Sites
Original Article Post Harvest Wound Infection and Patient s Perception: Comparative Study between Radial Artery and Saphenous Vein Harvest Sites Mitsumasa Hata, MD, Jai Raman, FRACS, George Matalanis,
Pallav J. Shah a, Manoj Durairaj a, Ian Gordon b, John Fuller c, Alex Rosalion a, Siven Seevanayagam a, James Tatoulis c, Brian F.
European Journal of Cardio-thoracic Surgery 26 (2004) 118 124 www.elsevier.com/locate/ejcts Factors affecting patency of internal thoracic artery graft: clinical and angiographic study in 1434 symptomatic
Coronary atherosclerotic heart disease remains the number
Twenty-Year Survival After Coronary Artery Surgery An Institutional Perspective From Emory University William S. Weintraub, MD; Stephen D. Clements, Jr, MD; L. Van-Thomas Crisco, MD; Robert A. Guyton,
It has been recognized worldwide that the use of the left internal thoracic
Surgery for Acquired Cardiovascular Disease Muneretto et al Safety and usefulness of composite grafts for total arterial myocardial revascularization: A prospective randomized evaluation Claudio Muneretto,
The advantages in using the internal mammary artery
Composite Arterial Conduits for a Wider Arterial Myocardial Revascularization Antonio M. Calafiore, MO, Gabriele Di Giammarco, MO, Nicola Luciani, MO, Nicola Maddestra, MO, Ernesto Di Nardo, MO, and Romeo
Declaration of conflict of interest NONE
Declaration of conflict of interest NONE Claudio Muneretto MD, PhD Director of Division of Cardiac Surgery University of Brescia Medical School Italy Hybrid Chymera Different features and potential advantages
In the early 1970s, Carpentier and colleagues [1] proposed
![In the early 1970s, Carpentier and colleagues [1] proposed](/thumbs/83/87993038.jpg "In the early 1970s, Carpentier and colleagues [1] proposed")
Pathology of the Radial and Internal Thoracic Arteries Used as Coronary Artery Bypass Grafts Eric Kaufer, BS, Stephen M. Factor, MD, Rosemary Frame, MS, and Richard F. Brodman, MD Departments of Cardiothoracic
Since its reintroduction into coronary artery surgery in the
Long-Term Results of the Radial Artery Used for Myocardial Revascularization Gianfederico Possati, MD; Mario Gaudino, MD; Francesco Prati, MD; Francesco Alessandrini, MD; Carlo Trani, MD; Franco Glieca,
How I deploy arterial grafts
Art of Operative Techniques How I deploy arterial grafts David P. Taggart John Radcliffe Hospital, University of Oxford, Oxford OX3 9DU, UK Correspondence to: David P. Taggart, MD(Hons), PhD, FRCS, FESC.
Coronary Artery from the Wrong Sinus of Valsalva: A Physiologic Repair Strategy
Coronary Artery from the Wrong Sinus of Valsalva: A Physiologic Repair Strategy Tom R. Karl, MS, MD he most commonly reported coronary artery malformation leading to sudden death in children and young
Revascularization after Drug-Eluting Stent Implantation or Coronary Artery Bypass Surgery for Multivessel Coronary Disease
Impact of Angiographic Complete Revascularization after Drug-Eluting Stent Implantation or Coronary Artery Bypass Surgery for Multivessel Coronary Disease Young-Hak Kim, Duk-Woo Park, Jong-Young Lee, Won-Jang
A Pictorial Review of Coronary Artery Bypass Grafts at Multidetector Row CT*
special reports A Pictorial Review of Coronary Artery Bypass Grafts at Multidetector Row CT* Riccardo Marano, MD; Maria Luigia Storto, MD; Biagio Merlino, MD; Nicola Maddestra, MD; Gabriele Di Giammarco,
F mary artery (IMA) graft carries a greater long-term
Internal Mammary Artery Grafts: The Shortest Route to the Coronarv Arteries J Thomas J. Vander Salm, MD, Sultan Chowdhary, MD,. N. Okike, MD, A. Thomas ezzella, MD, and Michael K. asque, MD University
Myocardial revascularization without cardiopulmonary
Multiple Arterial Conduits Without Cardiopulmonary Bypass: Early Angiographic Results Antonio M. Calafiore, MD, Giovanni Teodori, MD, Gabriele Di Giammarco, MD, Giuseppe Vitolla, MD, Nicola Maddestra,
Patencies of 2,127 Arterial to Coronary Conduits Over 15 Years
Patencies of 2,127 Arterial to Coronary Conduits Over 15 Years James Tatoulis, FRACS, Brian F. Buxton, FRACS, and John A. Fuller, FRACP Royal Melbourne Hospital and Epworth Hospital, University of Melbourne,
CORONARY ARTERY BYPASS GRAFTING (CABG) (Part 1) Mark Shikhman, MD, Ph.D., CSA Andrea Scott, CST
CORONARY ARTERY BYPASS GRAFTING (CABG) (Part 1) Mark Shikhman, MD, Ph.D., CSA Andrea Scott, CST I have constructed this lecture based on publications by leading cardiothoracic American surgeons: Timothy
Early Angiographic Results of Multivessel Off-Pump Coronary Artery Bypass Grafting
Original Article Early Angiographic Results of Multivessel Off-Pump Coronary Artery Bypass Grafting Mimiko Tabata, MD, Hiroshi Niinami, MD, PhD, Yuji Suda, MD, Akihito Sasaki, MD, Masato Yamamoto, MD,
Safe Approach for Redo Coronary Artery Bypass Grafting Preventing Injury to the Patent Graft to the Left Anterior Descending Artery
Original Article Safe Approach for Redo Coronary Artery Bypass Grafting Preventing Injury to the Patent Graft to the Left Anterior Descending Artery Hiroyuki Nishi, MD, 1 Masataka Mitsuno, MD, 1 Mitsuhiro
Angiographic 5-Year Follow-up Study of Right Gastroepiploic Artery Grafts
Angiographic 5-Year Follow-up Study of Right Gastroepiploic Artery Grafts Sari Voutilainen, MD, Kalervo Verkkala, MD, PhD, Antero J~irvinen, MD, PhD, and Pekka Keto, MD, PhD Departments of Thoracic and
The radial artery is often used as the second arterial graft
Radial Artery Free and T Graft Patency as Coronary Artery Bypass Conduit Over a 15-Year Period Hendrick B. Barner, MD; Marci Bailey, RN, MSN; Tracey J. Guthrie, RN; Michael K. Pasque, MD; Marc R. Moon,
Coronary Artery Bypass Grafting Using the Gastroepiploic Artery in 1,000 Patients
ORIGINAL ARTICLES: CARDIOVASCULAR Coronary Artery Bypass Grafting Using the Gastroepiploic Artery in 1,000 Patients Hitoshi Hirose, MD, FICS, Atushi Amano, MD, Shuichirou Takanashi, MD, and Akihito Takahashi,
Comparison of Bilateral Internal Thoracic Artery Revascularization Using In Situ or Y Graft Configurations
Comparison of Bilateral Internal Thoracic Artery Revascularization Using In Situ or Y Graft Configurations A Prospective Randomized Clinical, Functional, and Angiographic Midterm Evaluation David Glineur,
The Intramural course of anomalous coronary arteries: a high-risk characteristic?
Adam Bograd GCRC Elective -DDCF The Intramural course of anomalous coronary arteries: a high-risk characteristic? A. Study Purpose and Rationale Anomalies of coronary arteries, both in origin and course,
Minimally invasive direct coronary artery bypass for left anterior descending artery revascularization analysis of 300 cases
Original paper Videosurgery Minimally invasive direct coronary artery bypass for left anterior descending artery revascularization analysis of 300 cases Lufeng Zhang, Zhongqi Cui, Zhiming Song, Hang Yang,
Form 4: Coronary Evaluation
Patient Details Hidden Show Show/Hide Annotations Form : Coronary Evaluation Print this Form t Started Date of Coronary Evaluation Coronary Evaluation Indication for Coronary Evaluation Check only one.
Form 4: Coronary Evaluation
Form : Coronary Evaluation Print this Form t Started Date of Coronary Evaluation Coronary Evaluation Indication for Coronary Evaluation Check only one. Angio NOT DONE: n invasive test performed Followup
Received 20 January 2008; received in revised form 30 June 2008; accepted 11 July 2008; Available online 23 August 2008
European Journal of Cardio-thoracic Surgery 34 (2008) 833 838 www.elsevier.com/locate/ejcts Patency rate of the internal thoracic artery to the left anterior descending artery bypass is reduced by competitive
Radial Artery Grafts String-Sign Role of Graft Spasm and Competitive
Original Article Brunei Int Med J. 2017; 13 (2): 51-57 Radial Artery Grafts String-Sign Role of Graft Spasm and Competitive Flow. Chee F Chong 1 ; Neil E Moat 2 ; Peter Collins 3 1 Thoracic Unit, Department
Reoperative Coronary Artery Bypass Grafting: Analysis of Early And Late Outcomes
Original Article Reoperative Coronary Artery Bypass Grafting: Analysis of Early And Late Outcomes AR Jodati, MA Yousefnia From Department of Cardiothoracic Surgery, Madani Heart Hospital, Tabriz University
Mandatory knowledge about natural history of coronary grafts. P.Sergeant P. Maureira K.U.Leuven, Belgium
Mandatory knowledge about natural history of coronary grafts P.Sergeant P. Maureira K.U.Leuven, Belgium Types of grafts Arterial ITA/IMA (internal thoracic/mammary artery) Radial artery Gastro-epiploïc
MICS CABG. Putting the future of MICS in your hands today
MICS CABG Putting the future of MICS in your hands today This presentation is based on a compilation of the surgical techniques and protocols of: Dr. Joseph McGinn - Staten Island, New York Dr. Marc Ruel
Complete Proximal Occlusion of All Three Main Coronary Arteries Complicated With a Left Main Coronary Aneurysm: A Case Report
J Cardiol 2004 Nov; 44 5 : 201 205 Complete Proximal Occlusion of All Three Main Coronary Arteries Complicated With a Left Main Coronary Aneurysm: A Case Report Takatoshi Hiroshi Akira Takahiro Masayasu
FFR and CABG Emanuele Barbato, MD, PhD, FESC Cardiovascular Center Aalst, Belgium
FFR and CABG Emanuele Barbato, MD, PhD, FESC Cardiovascular Center Aalst, Belgium Conflict of Interest Institutional research grants and speaker s fee from St. Jude Medical and Boston Scientic to Cardiovascular
Myocardial enzyme release after standard coronary artery bypass grafting
Cardiopulmonary Support and Physiology Schachner et al Myocardial enzyme release in totally endoscopic coronary artery bypass grafting on the arrested heart Thomas Schachner, MD, a Nikolaos Bonaros, MD,
Normal and Abnormal Coronary Artery Anatomy: Is it significant?
Normal and Abnormal Coronary Artery Anatomy: Is it significant? Poster No.: C-2112 Congress: ECR 2012 Type: Educational Exhibit Authors: M.-Y. Ng, S. Kumar, C. K. Liew, R. W. Bury; Blackpool/UK Keywords:
Accepted Manuscript. Radial artery and bilateral mammary arteries in CABG: how much is too much? Derrick Y. Tam, MD, Stephen E.
Accepted Manuscript Radial artery and bilateral mammary arteries in CABG: how much is too much? Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc PII: S0022-5223(19)30032-7 DOI: https://doi.org/10.1016/j.jtcvs.2019.01.009
About OMICS International Conferences
About OMICS Group OMICS Group is an amalgamation of Open Access publications and worldwide international science conferences and events. Established in the year 2007 with the sole aim of making the information
Journal of the American College of Cardiology Vol. 35, No. 5, by the American College of Cardiology ISSN /00/$20.
Journal of the American College of Cardiology Vol. 35, No. 5, 2000 2000 by the American College of Cardiology ISSN 0735-1097/00/$20.00 Published by Elsevier Science Inc. PII S0735-1097(00)00546-5 CLINICAL
IN SITU RIGHT INTERNAL THORACIC ARTERY GRAFT VIA TRANSVERSE SINUS FOR REVASCULARIZATION OF POSTEROLATERAL WALL: EARLY RESULTS IN 116 CASES
IN SITU RIGHT INTERNAL THORACIC ARTERY GRAFT VIA TRANSVERSE SINUS FOR REVASCULARIZATION OF POSTEROLATERAL WALL: EARLY RESULTS IN 116 CASES Koji Ueyama, MD Ryuzo Sakata, MD Yusuke Umebayashi, MD Yoshihiro
Congenital heart disease involving the coronary artery
Anomalous Coronary Artery With Aortic Origin and Course Between the Great Arteries: Improved Diagnosis, Anatomic Findings, and Surgical Treatment Eldad Erez, MD, Vincent K. H. Tam, MD, Nancy A. Doublin,
Sports cardiology: Pre-competition screening
Sports cardiology: Pre-competition screening Dr. med Andreas E. Brauchlin Division of cardiology, University Hospital, Zurich andreas.brauchlin@usz.ch Content Interactive case presentation Background and
Coronary Artery Bypass Grafting with Arterial Grafts in Patients with Kawasaki Disease Affecting the Coronary Artery: a Korean Single-Center Study
J Korean Med Sci. 2018 Oct 15;33(42):e267 eissn 1598-6357 pissn 1011-8934 Original Article Pediatrics Coronary Artery Bypass Grafting with Arterial Grafts in Patients with Kawasaki Disease Affecting the
The Second Best Arterial Graft:
The Second Best Arterial Graft: A Propensity Analysis of the Radial Artery Versus the Right Internal Thoracic Artery to Bypass the Circumflex Coronary Artery American Association for Thoracic Surgery,
Off-Pump Bilateral Internal Thoracic Artery Grafting in Right Internal Thoracic Artery to Right Coronary System
Off-Pump Bilateral Internal Thoracic Artery Grafting in Right Internal Thoracic Artery to Right Coronary System ADULT CARDIAC Hyun-Chel Joo, MD, Young-Nam Youn, MD, PhD, Gijong Yi, MD, PhD, Byung-Chul
Morphometric Study of the Right Gastroepiploic and Inferior Epigastric Arteries
Morphometric Study of the Right Gastroepiploic and Inferior Epigastric Arteries Jacques A. M. van Son, MD, PhD, Frank M. Smedts, MD, PhD, Cheng-Qin Yang, MD, Marcel Mravunac, MD, Volkmar Falk, MD, Friedrich
Coronary artery bypass grafting (CABG) is a temporary treatment for a
Surgery for Acquired Cardiovascular Disease Influence of patient characteristics and arterial grafts on freedom from coronary reoperation Joseph F. Sabik III, MD, a Eugene H. Blackstone, MD, a,b A. Marc
Single Versus Multiple Internal Mammary Artery Grafting for Coronary Artery Bypass. 15-Year Follow-Up of a Clinical Practice Trial
Single Versus Multiple Internal Mammary Artery Grafting for Coronary Artery Bypass 15-Year Follow-Up of a Clinical Practice Trial William R. Burfeind Jr, MD; Donald D. Glower, MD; Andrew S. Wechsler, MD;
OPCABG for Full Myocardial Revascularisation How we do it
OPCABG for Full Myocardial Revascularisation How we do it 28 th SHA Conferance Dr.Farouk Oueida Head of Cardiac Surgery Dept. SBCC-Dammam KSA The Less Invasive CABG Full Revascularisation Full Sternotomy
Changing profile of patients undergoing redo-coronary artery surgery q
European Journal of Cardio-thoracic Surgery 21 (2002) 205 211 www.elsevier.com/locate/ejcts Changing profile of patients undergoing redo-coronary artery surgery q Frans M. van Eck, Luc Noyez*, Freek W.A.
Eight years experience using the inferior epigastric artery for myocardial revascularization 1
European Journal of Cardio-thoracic Surgery 11 (1997) 243 247 Eight years experience using the inferior epigastric artery for myocardial revascularization 1 Luiz B. Puig*, Anselmo H.S. Sousa, Gil V.L.
I internal mammary artery (IMA) is widely accepted as
Routine Use of the Left Internal Mammary Artery Graft in the Elderly Timothy J. Gardner, MD, Peter S. Greene, MD, Mary F. Rykiel, RN, William A. Baumgartner, MD, Duke E. Cameron, MD, Alfred S. Casale,
CABG Surgery following STEMI
CABG Surgery following STEMI Susana Harrington, MS,APRN-NP Cardio-Thoracic Surgery Nebraska Methodist Hospital February 15, 2018 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction:
Right Coronary Artery With Anomalous Origin and Slit Ostium
Right Coronary Artery With Anomalous Origin and Slit Ostium Raul Garcia Rinaldi, MO, Jorge Carballido, MO, Richard Giles, MO, Emilio Del Taro, MO, and Raul Porro, MO Departments of Cardiovascular Surgery
Surgery for Coronary Artery Disease. Arterial Versus Venous Bypass Grafts in Patients With In-Stent Restenosis
Surgery for Coronary Artery Disease Arterial Versus Venous Bypass Grafts in Patients With In-Stent Restenosis Mario Gaudino, MD; Carlo Cellini, MD; Claudio Pragliola, MD; Carlo Trani, MD; Francesco Burzotta,
Do Angiographic Results From Symptom-Directed Studies Reflect True Graft Patency?
CARDIOVASCULAR Do Angiographic Results From Symptom-Directed Studies Reflect True Graft Patency? Brian F. Buxton, FRACS, Manoj Durairaj, MCh, David L. Hare, FRACP, Ian Gordon, PhD, Simon Moten, FRACS,
Chronic Total Occlusion: a case for coronary artery bypass grafting
Chronic Total Occlusion: a case for coronary artery bypass grafting Rune Haaverstad Professor & Chief Dept. of Cardiothoracic Surgery Haukeland University Hospital Bergen, Norway Disclosure Research cooperation
SURGICAL MYOCARDIAL REVASCULARIZATION: ARTERIAL VS VENOUS GRAFTS, SINGLE VS MULTIPLE GRAFTS?
SURGICAL MYOCARDIAL REVASCULARIZATION: ARTERIAL VS VENOUS GRAFTS, SINGLE VS MULTIPLE GRAFTS? Luigi Martinelli Chief, Dept. of Surgery Istituto Clinico Ligure di Alta Specialità RAPALLO During 1987 2006,
Arterial revascularization in primary coronary artery bypass grafting: Direct comparison of 4 strategies Results of the Stand-in-Y Mammary Study
Nasso et al Acquired Cardiovascular Disease Arterial revascularization in primary coronary artery bypass grafting: Direct comparison of 4 strategies Results of the Stand-in-Y Mammary Study Giuseppe Nasso,
Anatomical studies concerning technical feasibility of minimally invasive axillocoronary bypass grafting 1
European Journal of Cardio-thoracic Surgery 14 (Suppl. 1) (1998) S71 S75 Anatomical studies concerning technical feasibility of minimally invasive axillocoronary bypass grafting 1 Johannes Bonatti a, *,
Postoperative Symptomatic Internal Thoracic Artery Stenosis and Successful Treatment With PTCA
Postoperative Symptomatic Internal Thoracic Artery Stenosis and Successful Treatment With PTCA Hani K. Najm, MD, Danielle Leddy, MD, Paul J. Hendry, MD, Jean-Francois Marquis, MD, David Richardson, BSc,
CONGENITAL CORONARY ARTERY ANOMALIES
How to prevent sudden coronary death in the young CONGENITAL CORONARY ARTERY ANOMALIES Cristina Basso, MD, FESC University of Padua, Italy ESC Congress Paris August 29, 2011 DECLARATION OF CONFLICT OF
Can Angiographic Complete Revascularization Improve Outcomes for Patients with Decreased LV Function? NO!
Can Angiographic Complete Revascularization Improve Outcomes for Patients with Decreased LV Function? NO! Young-Hak Kim, MD, PhD Heart Institute, University of Ulsan College of Medicine Asan Medical Center,
Case Report Preoperative Assessment of Anomalous Right Coronary Artery Arising from the Main Pulmonary Artery
Case Reports in Medicine Volume 2011, Article ID 642126, 4 pages doi:10.1155/2011/642126 Case Report Preoperative Assessment of Anomalous Right Coronary Artery Arising from the Main Pulmonary Artery Marshall
Cardiovascular Surgery
Cardiovascular Surgery Impact of Patient and Target-Vessel Characteristics on Arterial and Venous Bypass Graft Patency Insight From a Randomized Trial Nimesh D. Desai, MD; C. David Naylor, MD, DPhil; Alexander
Hybrid coronary revascularization for the treatment of multivessel coronary artery disease
Perspective Hybrid coronary revascularization for the treatment of multivessel coronary artery disease Michael O. Kayatta 1, Michael E. Halkos 1, John D. Puskas 2 1 Division of Cardiothoracic Surgery,
Form 4: Coronary Evaluation
Page of 7 Patient Details Hidden Show Show/Hide Annotations Stickies: Toggle All Toggle Open Toggle Resolved Form : Coronary Evaluation Print this Form t Started Date of Coronary Evaluation Coronary Evaluation
Early results after myocardial revascularization without cardiopulmonary bypass
Cardiopulmonary Support and Physiology Calafiore et al Bilateral internal thoracic artery grafting with and without cardiopulmonary bypass: Six-year clinical outcome Antonio M. Calafiore, MD, a Gabriele
E J Meijboom (Lausanne, CH) Which athlete can re-enter his active sports career? After re-implantation of an abnormal origin of a coronary artery
E J Meijboom (Lausanne, CH) Which athlete can re-enter his active sports career? After re-implantation of an abnormal origin of a coronary artery Coronary Anomalies Congenital and Isolated Angiographic
The MAIN-COMPARE Study
Long-Term Outcomes of Coronary Stent Implantation versus Bypass Surgery for the Treatment of Unprotected Left Main Coronary Artery Disease Revascularization for Unprotected Left MAIN Coronary Artery Stenosis:
The Radial Artery Versus the Saphenous Vein Graft in Contemporary CABG: A Case-Matched Study
The Radial Artery Versus the Saphenous Vein Graft in Contemporary CABG: A Case-Matched Study Gideon Cohen, MD, Miguel G. Tamariz, MD, Jeri Y. Sever, Negin Liaghati, BSc, Veena Guru, MD, George T. Christakis,
On-Pump vs. Off-Pump CABG: The Controversy Continues. Miguel Sousa Uva Immediate Past President European Association for Cardiothoracic Surgery
On-Pump vs. Off-Pump CABG: The Controversy Continues Miguel Sousa Uva Immediate Past President European Association for Cardiothoracic Surgery On-pump vs. Off-Pump CABG: The Controversy Continues Conflict
Hybrid Coronary Revascularization Using Limited Incisional Full Sternotomy Coronary Artery Bypass Surgery in Multivessel Disease: Early Results
Korean J Thorac Cardiovasc Surg 214;47:16-11 ISSN: 2233-61X (Print) ISSN: 293-6516 (Online) Clinical Research http://dx.doi.org/1.59/kjtcs.214.47.2.16 Hybrid Coronary Revascularization Using Limited Incisional
Anatomic variants of the normal coronary artery circulation
Diagnosis and Operation for Anomalous Circumflex Coronary Artery Keishi Ueyama, MD, PhD, Mahesh Ramchandani, MD, Arthur C. Beall, Jr, MD, and James W. Jones, MD, PhD Department of Surgery, Baylor College
CARDIAC AND CORONARY ARTERY ANATOMY NO DISCLOSURES. Axial Anatomy of Heart. Axial Anatomy of Heart. Axial Anatomy of Heart
CARDIAC AND CORONARY ARTERY ANATOMY NO DISCLOSURES NASCI MEETING, ORLANDO FLORIDA 2009 KOSTAKI G. BIS, MD, FACR DEPARTMENT OF RADIOLOGY WILLIAM BEAUMONT HOSPITAL Royal Oak, Michigan OBJECTIVES CARDIAC
Cardiovascular Surgery. Routine Use of Bilateral Skeletonized Internal Thoracic Artery Grafting Long-Term Results
Cardiovascular Surgery Routine Use of Bilateral Skeletonized Internal Thoracic Artery Grafting Long-Term Results D. Pevni, MD; G. Uretzky, MD; A. Mohr, BSc; R. Braunstein, PhD; A. Kramer, MD, PhD; Y. Paz,
It has been more than 10 years since the first clinical
Limited Flow Capacity of the Right Gastroepiploic Artery Graft: Postoperative Echocardiographic and Angiographic Evaluation Masami Ochi, MD, Nobuo Hatori, MD, PhD, Masahiro Fujii, MD, Yoshiaki Saji, MD,
Total occlusion at ostial Left internal mammary graft with successful angioplasty and longterm patency result
DOI 10.7603/s40602-014-0017-x ASEAN Heart Journal http://www.aseanheartjournal.org/ Vol. 22, no. 1, 116 121 (2014) ISSN: 2315-4551 Case Report Total occlusion at ostial Left internal mammary graft with
Contemporary Coronary Graft Patency: 5-Year Observational Data From a Randomized Trial of Conduits
ADULT CARDIAC SURGERY: The Annals of Thoracic Surgery CME Program is located online at http://cme.ctsnetjournals.org. To take the CME activity related to this article, you must have either an STS member
Form 4: Coronary Evaluation
Page of 8 Patient Details Hidden Show Show/Hide Annotations Stickies: Toggle All Toggle Open Toggle Resolved Form : Coronary Evaluation Toggle Question Year/Info Print this Form t Started Date of Coronary
Radial Artery Grafting: Why Do It? (Evidence Basis)
Advanced Techniques for State of the Art CABG Session AATS 2015 Radial Artery Grafting: Why Do It? (Evidence Basis) David P Taggart MD PhD FRCS FESC Professor of Cardiovascular Surgery, University of Oxford
Off-Pump Coronary Artery Bypass Grafting With Skeletonized Bilateral Internal Thoracic Arteries in Insulin-Dependent Diabetics
Off-Pump Coronary Artery Bypass Grafting With Skeletonized Bilateral Internal Thoracic Arteries in Insulin-Dependent Diabetics Masashi Kai, MD, Michiya Hanyu, MD, PhD, Yoshiharu Soga, MD, PhD, Takuya Nomoto,
DESCRIPTION: Percentage of patients aged 18 years and older undergoing isolated CABG surgery who received an IMA graft
Measure #43 (NQF 0134): Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery National Quality Strategy Domain: Effective Clinical Care 2017 OPTIONS
Phenylephrine to increase blood flow in the radial artery used as a coronary bypass conduit
Skubas et al Cardiopulmonary Support and Physiology Phenylephrine to increase blood flow in the radial artery used as a coronary bypass conduit Nikolaos Skubas, MD, a Hendrick B. Barner, MD, b Ioanna Apostolidou,
Surgical Treatment for Double Outlet Right Ventricle. Masakazu Nakao Consultant, Paediatric Cardiothoracic Surgery
for Double Outlet Right Ventricle Masakazu Nakao Consultant, Paediatric Cardiothoracic Surgery 1 History Intraventricular tunnel (Kawashima) First repair of Taussig-Bing anomaly (Kirklin) Taussig-Bing
Unprotected Left Main Coronary Artery Disease in Patients With Low Predictive Risk of Mortality
Unprotected Left Main Coronary Artery Disease in Patients With Low Predictive Risk of Mortality Shun Watanabe, MD, Tatsuhiko Komiya, MD, Genichi Sakaguchi, MD, PhD, and Takeshi Shimamoto, MD, PhD Department
Diabetes mellitus (DM) has been identified as an independent
Diabetes Does Not Affect Long-Term Results After Total Arterial Off-Pump Coronary Revascularization Ho Young Hwang, MD, Jae-Sung Choi, MD, PhD, and Ki-Bong Kim, MD, PhD Department of Thoracic and Cardiovascular
Adult Cardiac Surgery
Adult Cardiac Surgery Mahmoud ABU-ABEELEH Associate Professor Department of Surgery Division of Cardiothoracic Surgery School of Medicine University Of Jordan Adult Cardiac Surgery: Ischemic Heart Disease
Surgical vs. Percutaneous Revascularization in Patients with Diabetes and Acute Coronary Syndrome
Surgical vs. Percutaneous Revascularization in Patients with Diabetes and Acute Coronary Syndrome Chris C. Cook, MD Associate Professor of Surgery Director, CT Residency Program, WVU ACOI 10/17/18 No Disclosures
Multimodality Imaging of Anomalous Left Coronary Artery from the Pulmonary
1 IMAGES IN CARDIOVASCULAR ULTRASOUND 2 3 4 Multimodality Imaging of Anomalous Left Coronary Artery from the Pulmonary Artery 5 6 7 Byung Gyu Kim, MD 1, Sung Woo Cho, MD 1, Dae Hyun Hwang, MD 2 and Jong
Percutaneous coronary intervention of RIMA. The real challenge!
Percutaneous coronary intervention of RIMA The real challenge! Speaker's name: I do not have any potential conflict of interest Clinical Case 76-year old woman Previous History Actual Disease Diabetes