Do You Need to Clamp a Patent Left Internal Thoracic Artery–Left Anterior Descending Graft in Reoperative Cardiac Surgery?

2009 ◽  
Vol 87 (3) ◽  
pp. 742-747 ◽  
Author(s):  
Robert L. Smith ◽  
Peter I. Ellman ◽  
Peter W. Thompson ◽  
Micah E. Girotti ◽  
Bret A. Mettler ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Internal Thoracic Artery ◽  
Left Internal Thoracic Artery ◽  
Reoperative Cardiac Surgery

Reoperative Cardiac Surgery in Jehovah's Witness Patients with Patent Internal Thoracic Artery Grafts: How Far Can We Push the Envelope?

2008 ◽  
Vol 11 (1) ◽  
pp. E32-E33 ◽  
Author(s):  
B. Reddy Dandolu ◽  
John Parmet ◽  
Alice Isidro ◽  
Charles Yarnall ◽  
Howard L. Haber ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Internal Thoracic Artery ◽  
Jehovah’S Witness ◽  
Jehovah's Witness ◽  
Reoperative Cardiac Surgery

Chylothorax following Cardiac Surgery Caused by Unusual Lymphatic Anatomy

2007 ◽  
Vol 15 (5) ◽  
pp. e58-e59 ◽  
Author(s):  
Pradeep Narayan ◽  
Natasha Rahaman ◽  
Thomas F Molnar ◽  
Massimo Caputo
Keyword(s):  
Cardiac Surgery ◽  
Thoracic Duct ◽  
Internal Thoracic Artery ◽  
High Volume ◽  
Anterior Mediastinum ◽  
Lymphatic Channel ◽  
Surgical Exploration ◽  
Left Internal Thoracic Artery

Chylothorax due to injury to the thoracic duct and lymphatic channels during left internal thoracic artery harvest is well described. However, high volume leakage of chyle due to disruption of aberrant thymic collateral lymphatic channel in the anterior mediastinum has not been described previously. We describe such a case which was managed by early surgical exploration, ligation of the aberrant duct, and insertion of a pleuro-peritoneal shunt.

scholarly journals Spontaneous Spiral Dissection of Left Internal Thoracic Artery Graft

2015 ◽  
Vol 56 (3) ◽  
pp. 360-362 ◽  
Author(s):  
Seiji Koga ◽  
Satoshi Ikeda ◽  
Tomoo Nakata ◽  
Koji Maemura
Keyword(s):  
Internal Thoracic Artery ◽  
Left Internal Thoracic Artery ◽  
Artery Graft ◽  
Internal Thoracic Artery Graft

Postoperative flow characteristics of left internal thoracic artery grafts

1995 ◽  
Vol 59 (1) ◽  
pp. 154-162 ◽  
Author(s):  
Michihiro Nasu ◽  
Takashi Akasaka ◽  
Tsuyoshi Okazaki ◽  
Masahiko Shinkai ◽  
Hiroshi Fujiwara ◽  
...  
Keyword(s):  
Internal Thoracic Artery ◽  
Flow Characteristics ◽  
Left Internal Thoracic Artery

All Internal Thoracic Artery Composite Graft Revascularization

2005 ◽  
Vol 13 (4) ◽  
pp. 357-360
Author(s):  
Hiroshi Izumoto ◽  
Kazuaki Ishihara ◽  
Tetsunori Kawase ◽  
Takayuki Nakajima ◽  
Hiroshi Satoh ◽  
...  
Keyword(s):  
Internal Thoracic Artery ◽  
Coronary Vessels ◽  
Composite Graft ◽  
Entire Group ◽  
Efficient Design ◽  
Technical Feasibility ◽  
Left Internal Thoracic Artery ◽  
Composite Grafts ◽  
Artery Graft ◽  
The Right

The aim of this study was to determine the most efficient design of composite grafts and clarify the technical feasibility rate of composite grafting using internal thoracic artery exclusively in patients undergoing triple-vessel revascularization. Retrospective analysis of 104 consecutive patients was carried out. An in situ left internal thoracic artery graft for the left anterior descending artery area, with attachment of the right internal thoracic artery to the side of the left internal thoracic artery to revascularize the circumflex and right coronary vessels, was the most efficient graft design. The technical feasibility rate was 80% (83/104 patients). The mean number of distal anastomoses for the entire group was 3.8 ± 0.8 per patient. Intraoperative left internal thoracic artery flow rate was 91.6 ± 37.8 mL·min−1. With more experience, it is thought that the technical feasibility rate could be increased.

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