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Ann Thorac Surg 2006;82:1131-1133
© 2006 The Society of Thoracic Surgeons

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Preoperative Evaluation of the Right Gastroepiploic Artery Using Abdominal Ultrasonography

Masahito Minakawa, MD, PhDa, Ikuo Fukuda, MD, PhDa,*, Mitsuyoshi Wada, MD, PhDb, Ji Kaiqiang, MDa, Kazuyuki Daitoku, MD, PhDa, Kazuo Itoh, MD, PhDa, Kozo Fukui, MD, PhDa

a Department of Surgery I, Hirosaki University School of Medicine, Hirosaki
b Department of Radiology, Tsukuba Medical Center, Tsukuba, Japan

Accepted for publication September 6, 2005.

* Address correspondence to Dr Fukuda, Department of Surgery I, Hirosaki University School of Medicine, 5-Zaifucho, Hirosaki, 036-8562, Japan (Email: ikuofuku{at}cc.hirosaki-u.ac.jp).

Preoperative evaluation of the right gastroepiploic artery was performed by abdominal ultrasonography to determine whether the graft was adequate for coronary artery bypass. The gastroepiploic artery was used when the graft diameter was greater than 2 mm with pulsatile flow. Postoperative angiography revealed the gastroepiploic artery dominant, and the graft diameter measured by angiography was almost the same size as that of abdominal ultrasonography.

The right gastroepiploic artery (GEA) has been an important arterial graft in coronary revascularization, and the opportunities to use this artery as the in situ or free graft have been increasing lately. However we sometimes experience cases in which the GEA is not suitable for the graft because the diameter is not large enough to anastomose or the blood flow is poor. The aim of this study was to evaluate the graftability of the GEA using abdominal ultrasonography preoperatively.




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 Ann. Thorac. Surg.Home page
K. R. Cho, H. Y. Hwang, J. S. Kim, and K.-B. Kim
Right Gastroepiploic Artery Graft for Myocardial Revascularization: Prevalence of Atherosclerosis and Availability as a Conduit
Ann. Thorac. Surg., February 1, 2011; 91(2): 440 - 443.
[Abstract] [Full Text] [PDF]


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