Journal article

Recycling of arterial grafts during reoperative coronary artery operations

PH Noirhomme, MJ Underwood, GA El Khoury, D Glineur, B Elias, Y d'Udekem, RA Dion

The Annals of Thoracic Surgery | ELSEVIER SCIENCE INC | Published : 1999


BACKGROUND: To overcome problems of lack of conduit and to maximize the number of arterial anastomoses in coronary reoperations we reused previously placed arterial grafts. METHODS: Sixteen patients were identified from February 1994 to July 1997. Mean age was 62.8 years (range, 44 to 75 years). Fifteen (94%) were in Canadian Cardiovascular Society angina class III or IV. The mean interval from primary to secondary operation was 8.5 years (range, 3 to 12 years). Eleven patients had a patent internal mammary artery graft used as the recipient for a proximal Y anastomosis. In 3 cases an arterial graft was reimplanted distally on the same coronary vessel and in 2 onto different coronary vessels..

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