Rigt gastroepiploic artery: A third arterial conduit for coronary artery bypass

摘要: Experience with 39 patients (32 men, 7 women) undergoing coronary artery bypass grafting the right gastroepiploic (RGEA) is reported. Indications initially included poor-quality or absent saphenous vein, ascending aortic atherosclerosis, and repeat grafting. The average number of grafts per patient was 4.10. Arteries bypassed were posterior descending (22 patients), (12), diagonal (5), marginal (4). Distal RGEA internal diameters all measured 1.5 to 3.25 mm (average diameter, 2.14 mm). Pedicled graft lengths 18 30 cm length, 23.7 cm), free grafts, 8 24 17.7 cm). In 6 patients, no vein used, in at least one mammary placed. Early postoperative cardiac catheterization (19 pedicled ten grafts) 29 revealed be patent without a kink twist, but three these had vasospasm. Advantages are as follows: (1) it third arterial conduit artery-artery anastomoses comparable sizes; (2) shorter leg incision necessary; (3) can harvested simultaneously vein; (4) proximal anastomosis (free easy; (5) its use avoids bilateral high risk for sternal infection; (6) atherosclerotic aortas not clamped. Subintimal hyperplasia atherosclerosis unlikely.(ABSTRACT TRUNCATED AT 250 WORDS)