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[The inferior epigastric artery as a coronary artery bypass graft].
Kyobu Geka. 1995 Dec; 48(13):1096-100.KG

Abstract

From January 1992 through December 1993, 31 patients underwent myocardial revascularization with the inferior epigastric artery (IEA) graft. There were one emergency case and four coronary reoperation cases. IEA grafts were taken down through the left side paramedian incision and dilated with papaverine hydrochloride solution. The distal anastomoses were made to left anterior descending (3 cases), diagonal (14 cases), obtuse marginal (9 cases), postero-lateral (I case) and right coronary artery (4 cases). The proximal anastomoses were made to the aorta (22 cases), the hood of a new vein graft (4 cases) and the hood of an old vein graft (4 cases). When IEA was not long enough to reach the ascending aorta, it was anastomosed to the internal thoracic artery (2 cases) or the gastroepiploic artery (1 case) graft. There was one hospital death, and early patency rate (within one month) was 90% (19/21). The postoperative angiography performed at 1.3 years or 2 years showed excellent IEA graft patency. These results suggested that the IEA is suitable as a coronary artery bypass graft. Further long-term patency must be evaluated.

Authors+Show Affiliations

Division of Surgery, Cardiovascular Center, Mitsui Memorial Hospital, Tokyo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

8815253

Citation

Fukuda, S, et al. "[The Inferior Epigastric Artery as a Coronary Artery Bypass Graft]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 48, no. 13, 1995, pp. 1096-100.
Fukuda S, Suma H, Ikeda S, et al. [The inferior epigastric artery as a coronary artery bypass graft]. Kyobu Geka. 1995;48(13):1096-100.
Fukuda, S., Suma, H., Ikeda, S., Kigawa, I., & Wanibuchi, Y. (1995). [The inferior epigastric artery as a coronary artery bypass graft]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 48(13), 1096-100.
Fukuda S, et al. [The Inferior Epigastric Artery as a Coronary Artery Bypass Graft]. Kyobu Geka. 1995;48(13):1096-100. PubMed PMID: 8815253.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The inferior epigastric artery as a coronary artery bypass graft]. AU - Fukuda,S, AU - Suma,H, AU - Ikeda,S, AU - Kigawa,I, AU - Wanibuchi,Y, PY - 1995/12/1/pubmed PY - 1995/12/1/medline PY - 1995/12/1/entrez SP - 1096 EP - 100 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 48 IS - 13 N2 - From January 1992 through December 1993, 31 patients underwent myocardial revascularization with the inferior epigastric artery (IEA) graft. There were one emergency case and four coronary reoperation cases. IEA grafts were taken down through the left side paramedian incision and dilated with papaverine hydrochloride solution. The distal anastomoses were made to left anterior descending (3 cases), diagonal (14 cases), obtuse marginal (9 cases), postero-lateral (I case) and right coronary artery (4 cases). The proximal anastomoses were made to the aorta (22 cases), the hood of a new vein graft (4 cases) and the hood of an old vein graft (4 cases). When IEA was not long enough to reach the ascending aorta, it was anastomosed to the internal thoracic artery (2 cases) or the gastroepiploic artery (1 case) graft. There was one hospital death, and early patency rate (within one month) was 90% (19/21). The postoperative angiography performed at 1.3 years or 2 years showed excellent IEA graft patency. These results suggested that the IEA is suitable as a coronary artery bypass graft. Further long-term patency must be evaluated. SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/8815253/[The_inferior_epigastric_artery_as_a_coronary_artery_bypass_graft]_ L2 - https://medlineplus.gov/coronaryarterybypasssurgery.html DB - PRIME DP - Unbound Medicine ER -