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

This Article Full Text Full Text (PDF) 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): Mogens Bugge Eva Berglin Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Wiklund, L. Articles by Berglin, E. Search for Related Content PubMed PubMed Citation Articles by Wiklund, L. Articles by Berglin, E. Related Collections Related Article

Ann Thorac Surg 2000;70:79-83
© 2000 The Society of Thoracic Surgeons

---

Original articles: Cardiovascular

Early outcome and graft patency in mammary artery grafting of left anterior descending artery with sternotomy or anterior minithoracotomy

^a Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Göteborg, Sweden

Address reprint requests to Dr Wiklund, Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden
e-mail: lars.wiklund{at}medfak.gu.se

Background. The main objective of this study was to retrospectively compare early outcome and graft patency in patients who underwent coronary artery bypass grafting with the internal thoracic artery to the left anterior descending artery via an anterior minithoracotomy or median sternotomy and without the use of extracorporeal circulation.

Methods. One hundred thirty consecutive patients were studied. Median sternotomy was performed in 77 patients and anterior minithoracotomy in 53 patients.

Results. There were no differences in early clinical data or persistent postoperative pain between the groups. Early graft patency was 88% in the thoracotomy group and 96% in the sternotomy group (p = 0.3). Five of 7 patients who presented with a significant stenosis at the first coronary angiography had a normal angiogram at the reangiography. None of the patients with nonsignificant stenosis at the early coronary angiography had any clinical signs of ischemia or chest pain.

Conclusions. In our experience, anterior minithoracotomy and median sternotomy are different and distinguishable regarding early outcome and early graft patency. Most of the stenoses visualized at the early coronary angiography had vanished at a later coronary angiography, which makes the interpretation of the angiogram hazardous as a tool for the decision for redo procedure in the early postoperative period.

Related Article

Invited commentary

Patrick M. McCarthy
Ann. Thorac. Surg. 2000 70: 83. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

				H. Niinami, H. Ogasawara, Y. Suda, and Y. Takeuchi Single-Vessel Revascularization With Minimally Invasive Direct Coronary Artery Bypass: Minithoracotomy or Ministernotomy? Chest, January 1, 2005; 127(1): 47 - 52. [Abstract] [Full Text] [PDF]

				P. K. Hol, P. S. Lingaas, R. Lundblad, K. A. Rein, K. Vatne, H.-J. Smith, S. Nitter-Hauge, and E. Fosse Intraoperative angiography leads to graft revision in coronary artery bypass surgery Ann. Thorac. Surg., August 1, 2004; 78(2): 502 - 505. [Abstract] [Full Text] [PDF]

				U. Klima, V. Falk, M. Maringka, S. Bargenda, S. Badack, A. Moritz, F. Mohr, A. Haverich, and G. Wimmer-Greinecker Magnetic vascular coupling for distal anastomosis in coronary artery bypass grafting: A multicenter trial J. Thorac. Cardiovasc. Surg., November 1, 2003; 126(5): 1568 - 1574. [Abstract] [Full Text] [PDF]

				R. K. Wolf, E. L. Alderman, M. P. Caskey, A. R. Raczkowski, M. K. Dullum, D. C. Lundell, A. C. Hill, N. Wang, and M. A. Daniel Clinical and six-month angiographic evaluation of coronary arterial graft interrupted anastomoses by use of a self-closing clip device: a multicenter prospective clinical trial J. Thorac. Cardiovasc. Surg., July 1, 2003; 126(1): 168 - 177. [Abstract] [Full Text] [PDF]

				H. Niinami, Y. Takeuchi, S. Ichikawa, and Y. Suda Partial median sternotomy as a minimal access for off-pump coronary artery bypass grafting: feasibility of the lower-end sternal splitting approach Ann. Thorac. Surg., September 1, 2001; 72(3): S1041 - 1045. [Abstract] [Full Text] [PDF]