HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Hisayoshi Suma Atsushi Amano Sachito Fukuda Taiko Horii Yasuhiko Wanibuchi Akihiro Nabuchi Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Suma, H. Articles by Nabuchi, A. Search for Related Content PubMed PubMed Citation Articles by Suma, H. Articles by Nabuchi, A.

Ann Thorac Surg 1994;57:925-927
© 1994 The Society of Thoracic Surgeons

---

Articles

Gastroepiploic artery graft for anterior descending coronary artery bypass

Mitsui Memorial Hospital and New Tokyo Hospital, Tokyo, Japan

Accepted for publication July 29, 1993.

^_* Address reprint requests to Dr Suma, Department of Cardiovascular Surgery, Mitsui Memorial Hospital, 1 kanda Izumicho Chiyodaku, Tokyo 101, Japan.

In 308 right gastroepiploic artery (GEA) grafting procedures performed for myocardial revascularization, 38 GEA, 34 in situ, and four free grafts were used to bypass the left anterior descending coronary artery (LAD). Indications for using the GEA for the purpose of LAD bypass were: unavailability of the internal thoracic artery (ITA) at reoperation, surgical damage to the ITA at the time of the operation, or an apparently better free flow versus that in the left ITA, particularly in patients with diabetes meltitus in whom it was considered inadvisable to use bilateral ITAs. There were 21 male and 17 female patients with a mean age of 62 years (range, 31 to 77 years). Ten patients had undergone a previous myocardial revascularization. The mean number of distal anastomoses was 2.8 (range, 1 to 5). Concomitantly used conduits were the ITA in 27 patients, saphenous veins in 21 patients, the inferior epigastricartery in 4 patients, and the bovine internal thoracic artery in 1 patient. All but 1 patient survived. Follow-up ranged from 3 to 84 months (mean, 27 months). Postoperative angiography was performed in 33 patients. At the short-term evaluation (mean, 1 month), 32 of 33 (97%) GEA grafts were found to be patent; all 4 GEA grafts studied at the long-term evaluation (mean, 25 months) were also found to be patent. In no patients did angina recur postoperatively. In 25 patients who underwent an exercise study postoperatively, the stress test results were negative in 23. In the 2 patients whose stress test results were positive, this was due to stenosis of the large diagonal artery and stenosis of the saphenous vein graft to the circumflex artery. We conclude that the GEA is a suitable conduit for LAD revascularization when the ITA is unavailable.

This article has been cited by other articles:

				K. Takahashi, K. Daitoku, S. Nakata, S. Oikawa, M. Minakawa, and N. Kondo Early and Mid-Term Outcome of Anastomosis of Gastroepiploic Artery to Left Coronary Artery Ann. Thorac. Surg., December 1, 2004; 78(6): 2033 - 2036. [Abstract] [Full Text] [PDF]

				J. D. Fonger, J. R. Doty, J. D. Salazar, P. L. Walinsky, and N. W. Salomon Initial experience with MIDCAB grafting using the gastroepiploic artery Ann. Thorac. Surg., August 1, 1999; 68(2): 431 - 436. [Abstract] [Full Text] [PDF]

				G. Watanabe, T. Misaki, K. Kotoh, K. Kawakami, A. Yamashita, and K. Ueyama Multiple minimally invasive direct coronary artery bypass grafting for the complete revascularization of the left ventricle Ann. Thorac. Surg., July 1, 1999; 68(1): 131 - 136. [Abstract] [Full Text] [PDF]

				A. Nabuchi, G. Kawaguchi, T. Ichihara, S. Takuma, H. Fujisaki, and K. Hisamochi Total Arterial Revascularization for a Patient with a Single Coronary Artery Asian Cardiovascular and Thoracic Annals, March 1, 1997; 5(1): 50 - 52. [Abstract] [Full Text] [PDF]

				H. Hashimoto, T. Isshiki, Y. Ikari, K. Hara, F. Saeki, T. Tamura, T. Yamaguchi, and H. Suma EFFECTS OF COMPETITIVE BLOOD FLOW ON ARTERIAL GRAFT PATENCY AND DIAMETERMEDIUM-TERM POSTOPERATIVE FOLLOW-UP J. Thorac. Cardiovasc. Surg., February 1, 1996; 111(2): 399 - 407. [Abstract] [Full Text]