ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

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

Ann Thorac Surg 1995;60:1063-1066
© 1995 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Coronary Artery Reoperation Through the Left Thoracotomy With Hypothermic Circulatory Arrest

Hisayoshi Suma, MD, Ikutaro Kigawa, MD, Taiko Horii, MD, Jun-ichi Tanaka, MD, Sachito Fukuda, MD, Yasuhiko Wanibuchi, MD

Department of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan

Accepted for publication May 2, 1995.

Background. The left thoracotomy approach to avoid injury of the patent old graft and the myocardium with mid sternal reentry at coronary artery reoperation.

Methods. The left thoracotomy approach was used in 13 patients. There were 11 men and 2 women with a mean age of 63 years, ranging from 39 to 75 years. Three patients were having their third coronary bypass operation. In 11 patients, distal anastomoses were performed under circulatory arrest with moderate hypothermia. In the other 2 patients, distal anastomoses were performed on a beating heart. No aortic cross-clamp was applied in all patients. The mean number of distal anastomoses was 1.8; the grafted vessels were 11 anterior descending, 3 diagonal, 8 circumflex, and 1 posterolateral coronary arteries. Used grafts were 17 saphenous veins, 4 left internal thoracic arteries, and 2 gastroepiploic arteries. Inflow sites of the free graft were descending aorta in 10 patients and left subclavian artery in 3 patients.

Results. All patients were alive and well at the mean follow-up of 16 months, and all grafts were patent.

Conclusions. The left thoracotomy approach is safe and effective for reoperation on the left coronary artery system, and circulatory arrest is convenient and safe for performing distal anastomosis.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
P. C. Saunders, E. A. Grossi, R. Sharony, C. F. Schwartz, G. H. Ribakove, A. T. Culliford, J. Delianides, F. G. Baumann, A. C. Galloway, and S. B. Colvin
Minimally invasive technology for mitral valve surgery via left thoracotomy: Experience with forty cases
J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 1026 - 1032.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. W. Pratt, T. E. Williams, R. E. Michler, and D. A. Brown
Current indications for left thoracotomy in coronary revascularization and valvular procedures
Ann. Thorac. Surg., October 1, 2000; 70(4): 1366 - 1370.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
S. Yavuz, M A. Celkan, C. Eris, M. Mavi, T. Turk, O. Tiryakioglu, Y. Ata, V. Koca, and I A. Ozdemir
Minimally Invasive Coronary Artery Bypass: Experience in 114 Patients
Asian Cardiovasc Thorac Ann, September 1, 1999; 7(3): 177 - 181.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Cremer, O. E. Teebken, A. Simon, A. Hutzelmann, M. Heller, and A. Haverich
Thoracic computed tomography prior to redo coronary surgery
Eur. J. Cardiothorac. Surg., June 1, 1999; 13(6): 650 - 654.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
V. R. Machiraju, M. H. Culig, R. L. Heppner, R. A. Minella, and J. D. O'Toole
Value of Reversed Saphenous Vein in Minimally Invasive Direct Coronary Artery Bypass Graft Procedures
Ann. Thorac. Surg., March 1, 1998; 65(3): 625 - 627.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. Voutilainen, K. Verkkala, A. Jarvinen, M. Kaarne, P. Keto, P. Voutilainen, and S. Mattila
Minimally Invasive Coronary Artery Bypass Grafting Using the Right Gastroepiploic Artery
Ann. Thorac. Surg., February 1, 1998; 65(2): 444 - 448.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. B. Allen, R. G. Matheny, R. J. Robison, D. A. Heimansohn, and C. J. Shaar
Minimally Invasive Versus Conventional Reoperative Coronary Artery Bypass
Ann. Thorac. Surg., September 1, 1997; 64(3): 616 - 622.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
H. Suma
Innominate and Subclavian Arteries as an Inflow of Free Arterial Graft
Ann. Thorac. Surg., December 1, 1996; 62(6): 1865 - 1866.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
A. M. Calafiore and H. Suma
Radial Artery From Left Subclavian Artery in Redo Coronary Artery Bypass Grafting
Ann. Thorac. Surg., September 1, 1996; 62(3): 901 - 902.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
A. M. Calafiore, G. Di Giammarco, G. Teodori, G. Bosco, E. D'Annunzio, A. Barsotti, N. Maddestra, L. Paloscia, G. Vitolla, A. Sciarra, et al.
Left Anterior Descending Coronary Artery Grafting via Left Anterior Small Thoracotomy Without Cardiopulmonary Bypass
Ann. Thorac. Surg., June 1, 1996; 61(6): 1658 - 1663.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1995 by The Society of Thoracic Surgeons.