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Soichiro Kitamura
Kanji Kawachi
Toshio Seki
Noriyoshi Sawabata
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Ann Thorac Surg 1992;53:156-159
© 1992 The Society of Thoracic Surgeons

Articles

Angiographic demonstration of no-flow anatomical patency of internal thoracic-coronary artery bypass grafts

Soichiro Kitamura, MD*, Kanji Kawachi, MD, Toshio Seki, MD, Noriyoshi Sawabata, MD, Ryuichi Morita, MD, Tetsuji Kawata, MD

Department of Surgery III, Nara Medical College, Nara, Japan

Accepted for publication July 24, 1991.

* Address reprint requests tu Dr Kitamura, Department of Surgary III, Nara Medical College, 840 Shijo-cho, Kashihara, Nara, Japan 634.

To clarify the no-flow situation of the stringlike internal thoracic artery graft, we angiographically examined such grafts by temporarily occluding the recipient coronary artery with a percutaneous transluminal coronary angioplasty balloon and were able to reveal anatomical patency of the internal thoracic artery graft in 2 patients 1 year and 3 year after the operations. Thus, there is a possibility that internal thoracic artery grafts may continuously maintain anatomical patency even under no-flow situations just like nonfunctioning collateral vessels and may function properly later as a graft when the native coronary flow decreases. Also, this angiographic technique can be a new method for detecting anatomical patency of no-flow and functionally closed internal thoracic artery grafts.




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