Original article: cardiovascular: Arterial myocardial revascularization with in situ crossover right internal thoracic artery to left anterior descending artery.

Citation:

Lev-Ran O, Pevni D, Matsa M, Paz Y, Kramer A, Mohr R. Original article: cardiovascular: Arterial myocardial revascularization with in situ crossover right internal thoracic artery to left anterior descending artery. The Annals of Thoracic Surgery [Internet]. 2001;72 :798 - 803.

Abstract:

Background. The extra length obtained by skeletonizing the internal thoracic arteries (ITAs) enables versatile use of in situ bilateral ITAs for coronary artery bypass grafting, as the longer skeletonized right ITA more easily reaches the anastomotic site on the left anterior descending coronary artery. Methods. Between April 1996 and November 1999, 365 consecutive patients underwent revascularization with bilateral in situ ITAs (29% of 1,250 grafting procedures performed with both ITAs in our department during this period). The right ITA was routed anterior to the aorta to graft the left anterior descending coronary artery, and the in situ left ITA was used to graft circumflex branches. Right coronary artery branches were grafted with right gastroepiploic artery or saphenous vein graft. The right ITA crossed the midline above the aorta at the most cranial point to avoid damage in case of a repeat sternotomy in the future. Results. The operative mortality rate was 2.2% (8 patients). P

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