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William S. Stoney
Rowland P. Vernon
William C. Alford, Jr.
George R. Burrus
Clarence S. Thomas, Jr.
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Ann Thorac Surg 1976;21:2-6
© 1976 The Society of Thoracic Surgeons

Articles

Revascularization of the Septal Artery

William S. Stoney, M.D.*, Rowland P. Vernon, M.D., William C. Alford, Jr., M.D., George R. Burrus, M.D., Clarence S. Thomas, Jr., M.D.

Cardiac Surgical Service, St. Thomas Hospital, and the Department of Surgery, Vanderbilt Hospital, Nashville, TN

* Address reprint requests to Dr. Stoney, 2108 West End Ave, Nashville, TN 37203

The septal artery has been infrequently considered for bypass grafting due to its apparent inaccessibility. Twelve patients have recently been found to have a large single obstructed septal artery that supplied an area of left ventricle great enough to justify revascularization. A review of 100 normal arteriograms showed that 30% (30/100) of the patients had a septal artery of sufficient size to sustain a graft. Early restudy of 8 of the 12 patients who received septal bypasses showed all grafts to be patent and functioning well.




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