| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1990;50:413-416
© 1990 The Society of Thoracic Surgeons
Departments of Cardiovascular Surgery and Pathology, Mitsui Memorial Hospital, Tokyo, Japan
Accepted for publication April 2, 1990.
* Address reprint requests to Dr Suma, Mitsui Memorial Hospital, 1, Kanda Izumi-cho, Chiyoda-ku, Tokyo, 101 Japan.
Arteriosclerosis of the right gastroepiploic artery (GEA) and the internal thoracic artery (ITA) were compared by pathological observation. Specimens were obtained from 35 patients who underwent coronary artery bypass grafting with simultaneous use of these two kinds of arterial grafts. Degree of arteriosclerosis was classified in five categories: 0, normal; 1, luminal narrowing less than 25%; 2, luminal narrowing between 25% and 50%; 3, luminal narrowing greater than 50%; and 4, overt atherosclerosis with ulceration or calcification. The number of arteries with degree 0, 1, 2, 3, and 4 was 16 (46%), 15 (43%), 3 (9%), 0, and 1 (3%) in GEA and 27 (77%), 8 (23%), 0,0, and 0 in ITA, respectively. Incidence of degree 0 was higher in ITA, but differences were not significant. The mean wall thickness was 0.30 ± 0.13 mm in GEA and 0.21 ± 0.07 mm in ITA (p < 0.05). In 23 patients who underwent postoperative angiography, all 46 arterial grafts were patent without focal stenosis. We conclude that GEA has slightly more intimal thickening than ITA, but significant luminal narrowing caused by arteriosclerosis is rare. Gastroepiploic artery can be expected to be a suitable conduit for coronary artery bypass grafting.
This article has been cited by other articles:
|
|
 |
|
  K. R. Cho, H. Y. Hwang, J. S. Kim, and K.-B. Kim Right Gastroepiploic Artery Graft for Myocardial Revascularization: Prevalence of Atherosclerosis and Availability as a Conduit Ann. Thorac. Surg., February 1, 2011; 91(2): 440 - 443. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. R. Cho, H. Y. Hwang, J.-S. Kim, D. S. Jeong, and K.-B. Kim Comparison of Right Internal Thoracic Artery and Right Gastroepiploic Artery Y Grafts Anastomosed to the Left Internal Thoracic Artery Ann. Thorac. Surg., September 1, 2010; 90(3): 744 - 752. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Eda, K. Miyahara, H. Oshima, A. Usui, A. Matsuura, and Y. Ueda En-Bloc Free Gastroepiploic Artery Graft provides a good Long-Term Patency Rate Asian Cardiovasc Thorac Ann, June 1, 2010; 18(3): 244 - 249. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Nasso, C. Canosa, C. M. De Filippo, P. Mondugno, A. Anselmi, M. Gaudino, and F. Alessandrini Thoracic Radiation Therapy and Suitability of Internal Thoracic Arteries for Myocardial Revascularization Chest, September 1, 2005; 128(3): 1587 - 1592. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Shimizu, S. Ito, Y. Kikuchi, M. Misaka, T. Hirayama, S. Ishimaru, and A. Yamashina Arterial conduit shear stress following bypass grafting for intermediate coronary artery stenosis: a comparative study with saphenous vein grafts Eur J Cardiothorac Surg, April 1, 2004; 25(4): 578 - 584. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Chavanon, R. Hacini, and J.-L. Cracowski Right gastroepiploic artery for coronary artery bypass grafting: a word of caution Ann. Thorac. Surg., December 1, 2001; 72(6): 2184 - 2184. [Full Text] [PDF]
|
|
|
|
|
|
T. Koyanagi, S. Kyo, R. Omoto, S.-i. Ban, and M. Takahama Severe diffuse atherosclerotic lesions of right gastroepiploic artery graft Ann. Thorac. Surg., December 1, 1999; 68(6): 2328 - 2329. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Chavanon, J.-L. Cracowski, R. Hacini, F. Stanke, M. Durand, M. Noirclerc, and D. Blin Effect of topical vasodilators on gastroepiploic artery graft Ann. Thorac. Surg., May 1, 1999; 67(5): 1295 - 1298. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Ferro, M. Forni, R. Crivello, D. Palladin, M. Conti, and G. Palestro Histologic Evidence Suggesting That the Right Gastroepiploic Artery is Less Suitable and Less Long Lasting Than the Internal Mammary if Used as a Bypass Conduit: A Post-Mortem Comparison of the Gastroepiploic, Internal Mammary, Left Coronary, and Renal Arteries in Unselected Subjects Vascular and Endovascular Surgery, September 1, 1997; 31(5): 671 - 677. [Abstract] [PDF]
|
|
|
|
 |
|
 A. A. Voors, M. Oosterga, H. Buikema, J. F. May, J. G. Grandjean, A. van Buiten, and W. H. van Gilst Dyslipidemia and endothelium-dependent relaxation in internal mammary arteries used for coronary bypass surgery Cardiovasc Res, June 1, 1997; 34(3): 568 - 574. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Kaufer, S. M. Factor, R. Frame, and R. F. Brodman Pathology of the Radial and Internal Thoracic Arteries Used as Coronary Artery Bypass Grafts Ann. Thorac. Surg., April 1, 1997; 63(4): 1118 - 1122. [Abstract] [Full Text]
|
|
|
|
|
|
J. A. M. van Son, F. M. Smedts, C.-Q. Yang, M. Mravunac, V. Falk, F. W. Mohr, and G.-W. He Morphometric Study of the Right Gastroepiploic and Inferior Epigastric Arteries Ann. Thorac. Surg., March 1, 1997; 63(3): 709 - 715. [Abstract] [Full Text]
|
|
|
|
|
|
R. Malhotra, H. S. Bedi, S. Bazaz, S. Jain, and N. Trehan Morphometric Analysis of the Right Gastroepiploic Artery and the Internal Mammary Artery Ann. Thorac. Surg., January 1, 1996; 61(1): 124 - 127. [Abstract] [Full Text]
|
|
|
|
 |
|
 T. Carrel, F. W. Ammann, J. Schneider, H. Domeisen, and M. Turina ATHEROSCLEROTIC LESIONS OF THE GASTROEPIPLOIC ARTERY: ONE CASE REQUIRING POSTOPERATIVE DILATION AND SOME INTERESTING POSTMORTEM OBSERVATIONS J. Thorac. Cardiovasc. Surg., December 1, 1995; 110(6): 1768 - 1770. [Full Text]
|
|
|
|
 |
|
 C. A. Dietl, C. H. Benoit, C. L. Gilbert, E. L. Woods, W. F. Pharr, M. D. Berkheimer, N. P. Madigan, and F. J. Menapace Which Is the Graft of Choice for the Right Coronary and Posterior Descending Arteries? : Comparison of the Right Internal Mammary Artery and the Right Gastroepiploic Artery Circulation, November 1, 1995; 92(9): 92 - 97. [Abstract] [Full Text]
|
|
|
|
|
|
C. A. Dietl, J. E. Deitrick, J. C. West, and T. J. Pagana Laparotomy after using the gastroepiploic artery graft: Retrogastric versus antegastric route Ann. Thorac. Surg., August 1, 1995; 60(2): 382 - 386. [Abstract] [PDF]
|
|
|
|
|
|
C. A. Dietl and C. H. Benoit Radial artery graft for coronary revascularization: Technical considerations Ann. Thorac. Surg., July 1, 1995; 60(1): 102 - 110. [Abstract] [PDF]
|
|
|
|
|
|
M. B. Izzat, R. R. West, C. Ragoonanan, and G. D. Angelini Effect of systemic vasodilators on internal mammary artery flowImplications for postoperative treatment after myocardial revascularization J. Thorac. Cardiovasc. Surg., July 1, 1994; 108(1): 82 - 85. [Abstract] [Full Text]
|
|
|
|
|
|
J. G. Grandjean, P. W. Boonstra, P. d. Heyer, T. Ebels, and S. b. J. W. Kirklin Arterial revascularization with the right gastroepiploic artery and internal mammary arteries in 300 patients J. Thorac. Cardiovasc. Surg., May 1, 1994; 107(5): 1309 - 1316. [Abstract] [Full Text]
|
|
|
|
|
|
L. P. Perrault, M. Carrier, Y. Hebert, G. Hudon, R. Cartier, Y. Leclerc, and L. C. Pelletier Clinical experience with the right gastroepiploic artery in coronary artery bypass grafting Ann. Thorac. Surg., November 1, 1993; 56(5): 1082 - 1084. [Abstract] [PDF]
|
|
|
|
|
|
T. Takahashi, S. Nakano, Y. Shimazaki, M. Kaneko, N. Hirata, T. Nakamura, Y. Matsuzawa, S. Kitamura, and H. Matsuda Long-term appraisal of coronary bypass operations in familial hypercholesterolemia Ann. Thorac. Surg., September 1, 1993; 56(3): 499 - 505. [Abstract] [PDF]
|
|
|
|
|
|
J. A. M. van Son, F. Smedts, P. C. M. de Wilde, N. H. J. Pijls, L. Wong-Alcala, K. Kubat, G. Tavilla, and L. K. Lacquet Histological study of the internal mammary artery with emphasis on its suitability as a coronary artery bypass graft Ann. Thorac. Surg., January 1, 1993; 55(1): 106 - 113. [Abstract] [PDF]
|
|
|
|
|
|
D. M. I. Liebermann-Meffert, R. Meier, and J. R. Siewert Vascular anatomy of the gastric tube used for esophageal reconstruction Ann. Thorac. Surg., December 1, 1992; 54(6): 1110 - 1115. [Abstract] [PDF]
|
|
|
|
|
|
G. Tavilla, J. A. M. van Son, A. F. Verhagen, and F. Smedts Retrogastric versus antegastric routing and histology of the right gastroepiploic artery Ann. Thorac. Surg., June 1, 1992; 53(6): 1057 - 1061. [Abstract] [PDF]
|
|
|
|
|
|
T. Takahashi, S. Nakano, M. Kaneko, H. Matsuda, K. Taniguchi, T. Nakamura, and Y. Matsuzawa Coronary bypass using arterial grafts in homozygous familial hypercholesterolemia Ann. Thorac. Surg., March 1, 1992; 53(3): 510 - 512. [Abstract] [PDF]
|
|
|
|
|
|
H. Suma Reply Ann. Thorac. Surg., December 1, 1990; 50(6): 1019 - 1020. [PDF]
|
|
| 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 |
