Revascularization of Left Anterior Descending (LAD) Artery with In Situ Left Internal Thoracic Artery (LITA) and Coronary‐Coronary Free LITA Grafts: 12‐Year Patency

Omay, Oğuz; Özker, Emre; Indelen, Cenk; Süzer, Kaya

doi:10.1111/j.1540-8191.2008.00643.x

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…The first coronary-coronary artery bypass was performed in 1987 on a patient with porcelain aorta, the results of which were satisfactory (1, 2, 8, 9). The conduits that are used for coronary-coronary artery bypass are left internal mammary artery, saphenous vein graft, and radial artery (10). Most of the studies showed satisfactory short-and long-term outcomes of coronary-coronary bypass procedure.…”

Section: Discussionmentioning

confidence: 99%

Bentall Procedure with Concomitant Coronary-Coronary Bypass for Right Coronary Artery Stenosis: A Case Report

Hoseinikhah¹,

Manafi²,

Zarifian³

et al. 2016

Razavi Int J Med

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Introduction: Aortic surgery has made much progress recently. Yet the combination of aortic surgery and coronary artery bypass grafting has remained a major issue for the surgeons. Patient and Observation: Herein, we present a case of severe aortic insufficiency with aortic aneurysm concomitant with single coronary artery disease on the right coronary artery. The patient underwent Bentall procedure for the correction of severe AI and aortic aneurysm. Subsequently, due to the lack of proper site for proximal anastomosis of the saphenous vein graft on the ascending aorta, we decided to perform coronary-coronary artery bypass for the right coronary artery lesion instead of conventional implantation of saphenous vein graft on the ascending aorta. Conclusions: Coronary-coronary artery bypass could be performed safely for special conditions like porcelain aorta and when the ascending aorta is not suitable for the proximal saphenous vein graft.

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Section: Discussionmentioning

confidence: 99%

Bentall Procedure with Concomitant Coronary-Coronary Bypass for Right Coronary Artery Stenosis: A Case Report

Hoseinikhah¹,

Manafi²,

Zarifian³

et al. 2016

Razavi Int J Med

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Conduits for coronary artery bypass surgery: the quest for second best

Bello¹,

Peng²,

Sarkar³

2011

Journal of Cardiovascular Medicine

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Coronary artery bypass grafting is one of the most outstanding surgical achievements of the 20th century. Over its 50-year history patient outcomes have become excellent owing to technical refinements, myocardial protection, the use of antiplatelet and anticholesterol drugs, and the continued search for better conduits. The performance of conduits used for bypass remains the most important prognostic factor, with the left internal mammary artery being the conduit of choice due to its excellent patency rates. There is, however, uncertainty with regards which conduit is second best. The recent resurgence of the radial artery has led to an increase in its use as surgeons lean towards total arterial revascularization but there is emerging evidence that the performance of the long saphenous vein graft is improving. Furthermore, bilateral internal mammary artery grafting is preferred in some centres as an alternative approach to total arterial revascularization, with multiple reports of superior long-term event-free outcome with its use. This extensive review of current literature reveals an absence of clear consensus as to what mix of conduits provides the best long-term outcomes. The quest for second best continues. Arterial conduits appear to be superior when grafted to tight stenosis but veins remain popular with surgeons. More supportive evidence from the concluding Arterial Revascularization trial and the Radial Artery Patency and Clinical Outcomes trial should guide future practice.

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Revascularization of Left Anterior Descending (LAD) Artery with In Situ Left Internal Thoracic Artery (LITA) and Coronary‐Coronary Free LITA Grafts: 12‐Year Patency

Abstract: We used free LITA graft to bypass the distal lesions of LAD in selected patients as a valid alternative to sequential bypass grafting. To the best of our knowledge, this is the only angiographic view of a CCBG in LAD with LITA graft confirming the long-term patency.

Cited by 2 publications

References 7 publications

Bentall Procedure with Concomitant Coronary-Coronary Bypass for Right Coronary Artery Stenosis: A Case Report

Bentall Procedure with Concomitant Coronary-Coronary Bypass for Right Coronary Artery Stenosis: A Case Report

Conduits for coronary artery bypass surgery: the quest for second best

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