ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Joseph C. Cleveland
Ira M. Lebenson
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cleveland, J. C.
Right arrow Articles by Dague, J. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cleveland, J. C.
Right arrow Articles by Dague, J. R.

Ann Thorac Surg 1980;30:336-341
© 1980 The Society of Thoracic Surgeons

Articles

Further Evaluation of the Circular Sequential Vein Graft Technique of Coronary Artery Bypass

Joseph C. Cleveland, M.D.*, Ira M. Lebenson, M.D., Robert J. Twohey, M.D., Joseph G. Ellis, M.D., Daniel B. Nelson, M.D., Raymond J. Suchor, M.D., Aldred A. Heckman, Jr., M.D., David W. Morse, M.D., John R. Dague, B.S.N.

From the Departments of Cardiovascular Surgery and Cardiology, Carle and Christie Clinics, Urbana-Champaign, IL

* Address reprint requests to Dr. Cleveland, c/o Carle Clinic Association, 602 W University Ave, Urbana, IL 61801

Our study reports a series of circular sequential vein grafts in 21 patients with highly symptomatic triple-vessel coronary artery disease. Four or more distal anastomoses were done in each patient. Thirteen of the patients were restudied, and the results revealed a 97% patency rate for distal anastomoses (58 out of 60) at 4 to 13 months after operation. One patient died 2 months after operation. Postmortem examination revealed a desmoplastic, fibrotic reaction at the proximal anastomosis of the circular graft, with 3 of 4 distal anastomoses patent. Twenty of the 21 patients in this series are now alive with asymptomatic cardiac status 14 to 22 months after operation.

The finding by Grondin and associates [1] of increased patency rate with this technique for distal anastomoses is confirmed. The circular sequential vein graft represents a particularly advantageous technique for patients in whom 4 to 6 distal anastomoses are needed for complete revascularization and in whom one or more vessels have limited runoff. The obvious disadvantage of this technique is that all distal anastomoses depend on a single proximal anastomosis.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1980 by The Society of Thoracic Surgeons.