ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Arterial Grafts For Coronary Bypass Surgery
Tevfik TEZCANER, Y. Haldun KARAGÖZ, Zeki ÇATAV, Hilmi TOKAKOĞLU, I. Yaman ZORLUTUNA, Oğuz TAŞDEMİR, Kemal BAYAZIT
Türkiye Yüksek İhtisas Hastanesi Kardiyovasküler Cerrahi Kliniği, Ankara
Between 1982-1992, 97 cases who underwent coronary revascularization with more than one arterial graft were examined. There were 94 males and their mean age was 47.5 year. Eighty-one of them received bilateral internal mammary artery (IMA), 12 of them right gastroepiploic artery (RGEA) + bilateral IMA, 3 of them inferior epigastric artery (IEA) + bilateral IMA, and 1 of them left IMA + RGEA with a mean of 3.08 distal anastomoses per patient. Hospital mortality was 1.03%. During the early postoperative period control coronary angiography was performed in 7 patients with RGEA, in 3 patients with IEA + bilateral IMA, in 1 patient with bilateral IMA, and all graft were found to be patent. Five patients with bilateral IMA were examined angiographically in the late postoperative period (mean 19.8 months), all grafts were patent except one right IMA. Arterial revascularization did not increase surgical mortality or morbidity. These grafts should be prefered in young patients because of superior late patency rates.
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