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The Annals of Thoracic Surgery, Vol 44, 394-397, Copyright © 1987 by The Society of Thoracic Surgeons
H Suma, H Fukumoto and A Takeuchi
The right gastroepiploic artery (GEA) was studied angiographically and
histologically to determine its suitability for coronary artery bypass
grafting. One hundred celiac angiograms demonstrated that the right GEA has
the appropriate size (diameter less than 1.5 mm, 4%; 1.5 to 2 mm, 29%; more
than 2 mm, 67%) and length (less than half of the greater curvature, 5%;
more than half of the greater curvature, 95%; more than two-thirds of the
greater curvature, 34%) for use as an in situ graft. A stenotic lesion of a
GEA was observed in only 1 angiogram. Histological examination of a right
GEA from 5 patients who had undergone gastrectomy demonstrated no evidence
of arteriosclerosis. Encouraged by these results, we performed a coronary
artery bypass reoperation utilizing an in situ right GEA graft in 2 women.
Postoperative angiograms showed good patency of those grafts. The patients
recovered well and were free from angina.
ARTICLES
Coronary artery bypass grafting by utilizing in situ right gastroepiploic artery: basic study and clinical application
Department of Thoracic Surgery, Osaka Medical College, Takatsuki, Japan.
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