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The Annals of Thoracic Surgery, Vol 56, 975-977, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

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

G Khoury, M Amrani, R Verhelst, P Goffette, A Baldovinos and RA Dion
Department of Cardiovascular Surgery, Cliniques Universitaires Saint- Luc, 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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 Ann. Thorac. Surg.Home page
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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