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Ann Thorac Surg 2007;84:36-37
© 2007 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Invited commentary

Louis P. Perrault, MD, PhD, Arnaud Mommerot, MD

Department of Surgery, Montreal Heart Institute, 5000 Belanger St, Montreal, Quebec, H1T 1C8 Canada

(Email: louis.perrault@icm-mhi.org).

The first 20% of the full text of this article appears below.

After almost 30 years of routine use, the left internal thoracic artery still remains the gold standard for coronary artery bypass grafting onto the left anterior descending coronary artery. Recently, grafting of bilateral internal thoracic arteries demonstrated long-term superiority in terms of survival and major adverse cardiac events. This benefit has also been confirmed in diabetic patients, but is counterbalanced by a significantly higher risk of deep sternal wound infection as compared with single left internal thoracic artery grafting. Skeletonization of the internal thoracic artery during harvesting has been advocated to reduce . . . [Full Text of this Article]


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Off-Pump Coronary Artery Bypass Grafting With Skeletonized Bilateral Internal Thoracic Arteries in Insulin-Dependent Diabetics
Masashi Kai, Michiya Hanyu, Yoshiharu Soga, Takuya Nomoto, Jota Nakano, Takehiko Matsuo, Eitaro Umehara, Masahide Kawato, and Hitoshi Okabayashi
Ann. Thorac. Surg. 2007 84: 32-36. [Abstract] [Full Text] [PDF]





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