A Technique of Anastomosis of the Right Internal Mammary Artery to the Circumflex Artery and Its Branches

Puig, Luiz Bóro; Neto, Luiz F Sampaio; Rati, M; Ramires, José Antônio Franchini; Luz, Protásio Lemos da; Pileggi, F; Jatene, Adib

doi:10.1016/s0003-4975(10)64200-2

Cited by 58 publications

(19 citation statements)

References 4 publications

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“…The demonstration that sequential, "Yshaped" and "T-shaped" grafts are possible with the LITA [18], and the use of the transverse sinus as access of the right internal thoracic artery to the left side of the heart [19], contributed to a broader use of the internal thoracic arteries.…”

Section: -Estimated Probability Free From Re-interventionmentioning

confidence: 99%

Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriais

Abdouni¹,

Lisboa²,

Puig³

et al. 2008

Rev Bras Cir Cardiovasc

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Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriaisLong-term follow-up of patients undergone coronary artery bypass grafting with exclusive use of arterial grafts Abstract Objective: To evaluate the long-term results of coronary artery bypass grafting with the exclusive use of arterial grafts for patients with triple vessel disease.Methods: We evaluated 136 patients who underwent isolated coronary artery bypass grafting between January 1995 and December 1997. A total of 353 grafts were used for revascularization of 449 arteries (mean: 3.30 per patient). Grafts used were the left internal thoracic artery (99.2%), right internal thoracic artery (56.6%), radial artery (87.5%), right gastroepiploic artery (20.5%) and one inferior epigastric artery. Seventy-six (55.8%) patients received composite grafts ("Y-shape") and 66 (48.5%) patients received sequential anastomoses.Results: Hospital mortality was 4.4%. In the long-term follow-up (9.5 to 12.8 years), 82.1% of the patients were free of cardiac events. Twenty (17.9%) patients had hospital readmission due to cardiac events: 15 presented angina and five presented acute myocardial infarction, with three of them presenting with associated heart failure. Eight (7.1%) patients needed coronary re-interventions: one underwent coronary bypass reoperation and the others underwent coronary angioplasty with stent implantation. Estimated probability of being event-free was 98.2%, 95.4% and 84.2% at 1, 5 and 10 years of follow-up respectively. There were 16 (14.2%) late deaths with four of them (3.6%) being cardiacrelated. Actuarial 12.8-year survival of all types of death was 85% in this group.Conclusion: Coronary artery bypass grafting with the exclusive use of arterial grafts is a safe procedure for patients with triple vessel coronary disease with good long-term results.Descriptors: Myocardial revascularization. Arteriosclerosis/ surgery. Mammary arteries. Radial artery. ResumoObjetivo: Avaliar os resultados a longo prazo da cirurgia de revascularização do miocárdio com o uso exclusivo de enxertos arteriais em pacientes com doença coronariana triarterial.

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Section: -Estimated Probability Free From Re-interventionmentioning

confidence: 99%

Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriais

Abdouni¹,

Lisboa²,

Puig³

et al. 2008

Rev Bras Cir Cardiovasc

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“…A major advance in CABG was its use in situ by retroaortic via in branches of the left coronary artery. This technique was described in our midst by Puig et al [17] in 1984. This thoracic artery also came to be used for branches of the circumflex artery as a composed arterial graft with the left internal thoracic artery, or as a free graft.…”

Section: Internal Thoracic Arteriesmentioning

confidence: 99%

Myocardial revascularization in the XXI century

Dallan¹,

Jatene²

2013

Revista Brasileira De Cirurgia Cardiovascular

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“…The use of two internal thoracic arteries (ITA) in coronary artery bypass grafting seems to result in better survival and reduced need for late reoperation [1][2][3][4]. However, this technique is not yet performed as a current practice, by arguing that the use of ITA would be associated with more morbidity, increased need for hemotransfusion [5], increasing probability of transoperative myocardial infarction [6] and, in particular, sternal osteomyelitis [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Diabéticos devem ter a artéria torácica interna esqueletizada? Avaliação da perfusão esternal por cintilografia

Filho¹,

Neto²,

Silva³

et al. 2009

Rev Bras Cir Cardiovasc

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Objective: To assess, by scintillography, the effect of using bilateral internal thoracic arteries (BITAs) -prepared by two different techniques -on the sternal perfusion.Method: 35 patients undergone coronary artery bypass grafting (CABG) were divided into two groups: Group A (18) had both ITA's dissected using skeletonization technique and group B (17) as pedicle preparation. There was no difference in the two groups relating gender, age and demographic characteristics. On the 7 th postoperative day the patients underwent bone scintillography. The statistical analysis was performed using the Student's t test with 95% significance.Results: Group A (skeletonized ITA) showed higher perfusion (11.5%) of the sternum as a mean, than Group B (pedicled ITA) patients; however this was not statistically significant (P = 0.127). On the other hand, comparing the 004).Conclusions: 1 -Sternal perfusion is not affected significantly apart from the dissection technique used for both internal thoracic arteries in the general population when assessed by bone scintillography. 2 -In the diabetic subgroup, a significant preservation of the sternal perfusion was observed in patients undergone skeletonized dissection of the internal thoracic arteries. Although these findings should be confirmed in a greater number of cases, diabetic patients should have the internal thoracic arteries dissected using skeletonization techinque.Descriptors: Sternum. Mammary arteries. Tomography, emission-computed. 158SANTOS FILHO, EC ET AL -Should the diabetics have the internal thoracic artery skeletonized? Assessment of sternal perfusion by scintillography Bras Cir Cardiovasc 2009; 24(2): 157-164 Rev

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A Technique of Anastomosis of the Right Internal Mammary Artery to the Circumflex Artery and Its Branches

Cited by 58 publications

References 4 publications

Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriais

Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriais

Myocardial revascularization in the XXI century

Diabéticos devem ter a artéria torácica interna esqueletizada? Avaliação da perfusão esternal por cintilografia

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