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Ann Thorac Surg 1993;56:975-977
© 1993 The Society of Thoracic Surgeons

Articles

Right gastroepiploic artery used as a pedicled graft in a retrograde fashion

Gebrine Khoury, MD, Mohamed Amrani, MD, Robert Verhelst, MD, Pierre Goffette, MD, Ary Baldovinos, MD, Robert A. Dion, MD*

Departments of Cardiovascular Surgery and Radiology, Cliniques Universitaires Saint-Luc, Brussels, Belgium

Accepted for publication January 15, 1993.

* Address reprint requests to Dr Dion, Department of Cardiovascular Surgery, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10,1200 Brussels, Belgium.

The right gastroepiploic artery is currently regarded as a most valuable arterial conduit for myocardial revascularization. We have documented a particular case wherein the proximal (pyloric) part of the right gastroepiploic artery could not be freed and was damaged because of previous cholecystectomy. The pedicle was divided at the pyloric side and raised up to be anastomosed to the posterior descending artery in a retrograde fashion. The purpose of this report is to emphasize the fact that a previous abdominal operation does not necessarily hamper the use of the gastroepiploic artery as a pedicled graft. It is also pointed out that retrograde flow in the pedicle was sufficient in this case to provide good revascularization.




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D. Glineur, P. Noirhomme, A. Poncelet, C. Hanet, P. Astarci, R. Verhelst, P. Y. Etienne, and G. El Khoury
Gastroepiploic Artery Minimally Invasive Grafting in Reoperative Patients With Patent Mammaries
Ann. Thorac. Surg., May 1, 2005; 79(5): 1606 - 1609.
[Abstract] [Full Text] [PDF]


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