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Ann Thorac Surg 1993;55:770-771
© 1993 The Society of Thoracic Surgeons

Articles

Management of patent saphenous vein grafts during reoperative coronary artery bypass grafting

Rajsekhar Devineni, MD*, Nishit Shah, MB, ChB, Jacob Kolff, MD

Division of Cardiothoracic Surgery, Conemaugh Memorial Hospital, Johnstown, Pennsylvania, USA

Accepted for publication June 1, 1992.

* Address reprint requests to Dr Devineni, Division of Cardiothoracic Surgery, Conemaugh Memorial Hospital, 1086 Franklin St, Johnstown, PA 15905-4398.

A patient was referred for coronary artery bypass reoperation. After a left internal mammary artery was grafted to the left anterior descending coronary artery, the diseased but patent old saphenous vein graft was ligated. This resulted in severe myocardial failure, which was corrected only after restoration of flow through the old vein graft. We suggest the decision to ligate or replace an old vein graft should be individualized to avoid the risk of myocardial ischemia.




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S. Pagni, E. Salloum, J. Storey, W. Montgomery, P. Cerrito, D. Van Himbergen, L. A. Gray Jr., and P. A. Spence
Double grafting of the left anterior descending artery: is the distance between the internal mammary artery and supplemental vein graft anastomoses relevant in graft survival?
Eur J Cardiothorac Surg, January 1, 1998; 13(1): 36 - 41.
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