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[Coronary artery bypass grafting using gastroepiploic artery].
Kyobu Geka. 1989 Jul; 42(8 Suppl):630-6.KG

Abstract

Since March 1986, coronary artery bypass grafting (CABG) by utilizing the right gastroepiploic artery (GEA) has been performed in 60 patients during 3 year period. There were 52 males and 8 females, and age ranged from 34 to 73 year old with the mean of 56.2 year old. Triple vessel disease and the left main disease involved 90% of the patients. There were two patients under hemodialysis for chronic renal failure, one patient with idiopathic thrombocytopenic purpura, one patient with aneurysm of the abdominal aorta, and two patients with arteriosclerosis obliterance, preoperatively. Five patients were second CABG. GEA was used as an in-situ graft in 57 patients and as a free graft in 3 patients and was anastomosed to 3 left anterior descending, 3 diagonal (all "free" graft), 5 circumflex, and 49 right coronary arteries. To bypass the other coronary arteries, the internal mammary artery graft (unilateral 38, bilateral 20, sequential 5) with or without saphenous vein graft was used. The mean number of distal anastomoses was 3.3 (1-5) and the mean number of arterial graft anastomoses was 2.4 (1-4) per patient with the mean aortic cross clamp time of 62.4 minutes (23-137 minutes) and the mean cardiopulmonary bypass time of 120.8 minutes (69-210 minutes). Splenectomy, Y graft replacement of the abdominal aorta, and ascending aorta-bifemoral bypass were concomitantly carried out in each one patient. Two patients (3.3%) died of renal and cardiac failure within 30 postoperative days. One patient (1.7%) died of stroke lately. New Q wave was noted in 2 patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

2607705

Citation

Suma, H, and A Takeuchi. "[Coronary Artery Bypass Grafting Using Gastroepiploic Artery]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 42, no. 8 Suppl, 1989, pp. 630-6.
Suma H, Takeuchi A. [Coronary artery bypass grafting using gastroepiploic artery]. Kyobu Geka. 1989;42(8 Suppl):630-6.
Suma, H., & Takeuchi, A. (1989). [Coronary artery bypass grafting using gastroepiploic artery]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 42(8 Suppl), 630-6.
Suma H, Takeuchi A. [Coronary Artery Bypass Grafting Using Gastroepiploic Artery]. Kyobu Geka. 1989;42(8 Suppl):630-6. PubMed PMID: 2607705.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Coronary artery bypass grafting using gastroepiploic artery]. AU - Suma,H, AU - Takeuchi,A, PY - 1989/7/1/pubmed PY - 1989/7/1/medline PY - 1989/7/1/entrez SP - 630 EP - 6 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 42 IS - 8 Suppl N2 - Since March 1986, coronary artery bypass grafting (CABG) by utilizing the right gastroepiploic artery (GEA) has been performed in 60 patients during 3 year period. There were 52 males and 8 females, and age ranged from 34 to 73 year old with the mean of 56.2 year old. Triple vessel disease and the left main disease involved 90% of the patients. There were two patients under hemodialysis for chronic renal failure, one patient with idiopathic thrombocytopenic purpura, one patient with aneurysm of the abdominal aorta, and two patients with arteriosclerosis obliterance, preoperatively. Five patients were second CABG. GEA was used as an in-situ graft in 57 patients and as a free graft in 3 patients and was anastomosed to 3 left anterior descending, 3 diagonal (all "free" graft), 5 circumflex, and 49 right coronary arteries. To bypass the other coronary arteries, the internal mammary artery graft (unilateral 38, bilateral 20, sequential 5) with or without saphenous vein graft was used. The mean number of distal anastomoses was 3.3 (1-5) and the mean number of arterial graft anastomoses was 2.4 (1-4) per patient with the mean aortic cross clamp time of 62.4 minutes (23-137 minutes) and the mean cardiopulmonary bypass time of 120.8 minutes (69-210 minutes). Splenectomy, Y graft replacement of the abdominal aorta, and ascending aorta-bifemoral bypass were concomitantly carried out in each one patient. Two patients (3.3%) died of renal and cardiac failure within 30 postoperative days. One patient (1.7%) died of stroke lately. New Q wave was noted in 2 patients.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/2607705/[Coronary_artery_bypass_grafting_using_gastroepiploic_artery]_ L2 - https://medlineplus.gov/coronaryarterybypasssurgery.html DB - PRIME DP - Unbound Medicine ER -