Left Internal Thoracic Artery Composite Grafting with the Right Internal Thoracic Versus Radial Artery in Coronary Artery Bypass Grafting

2011 ◽  
Vol 26 (6) ◽  
pp. 579-585 ◽  
Author(s):  
Won-Chul Cho ◽  
Dong Gon Yoo ◽  
Joon Bum Kim ◽  
Seung Hyun Lee ◽  
Sung Ho Jung ◽  
...  
Author(s):  
Robert F. Tranbaugh ◽  
Mario Gaudino ◽  
Brian F. Buxton ◽  
James Tatoulis

The radial artery is an easily harvested, versatile, and high-quality conduit with proven safety and efficacy during coronary artery bypass grafting. When properly harvested and deployed, the long-term patency is excellent and similar to the left internal thoracic artery. Either open or endoscopic harvesting may be used and target vessel stenosis should be at least 70%. Radial artery grafting is superior to saphenous vein grafting and appears to be equivalent to using the right internal thoracic artery. Adoption of radial artery grafting may be the most direct path to routine multiple arterial bypass grafting in the majority of patients undergoing coronary artery bypass grafting.


2019 ◽  
Vol 7 ◽  
pp. 2050313X1881872
Author(s):  
Taisuke Nakayama ◽  
Mayuko Nakayama ◽  
Takashi Harada ◽  
Shingo Isshiki ◽  
Hideki Sasaki ◽  
...  

Neurofibromatosis type 1, also called von Recklinghausen’s disease, is a hereditary congenital disorder that affects tissues of neuroectodermal or mesodermal origin. This disease has various manifestations, including pigmented skin lesions, cutaneous neurofibromas, skeletal abnormalities, and tumors of the central/peripheral nervous and gastrointestinal systems, and vascular abnormalities. Because of vasculopathy, part of the vessel wall may be replaced by neurofibromatosis tissue. Involvement of the internal thoracic artery is, however, extremely rare. Off-pump coronary artery bypass grafting using the left internal thoracic artery was performed for coronary arterial disease in a patient with neurofibromatosis, and the residual left internal thoracic artery vessel pathology was investigated. The left internal thoracic artery vessel showed intimal proliferation, medial thinning, and fragmentation of elastic tissue. However, these findings were not typical for von Recklinghausen’s neurofibromatosis. Internal thoracic artery graft selection was feasible for coronary artery bypass grafting in a patient with neurofibromatosis type 1.


2021 ◽  
Vol 9 ◽  
pp. 2050313X2110277
Author(s):  
Taira Yamamoto ◽  
Daisuke Endo ◽  
Akie Shimada ◽  
Atsushi Amano

Small saccular aneurysm in the right gastroepiploic artery is a sporadic disease accounting for approximately 0.4% of abdominal visceral aneurysms rarely observed during routine examination of other illnesses; however, it has been reported following rupture. The right gastroepiploic artery is a common alternative to the internal thoracic artery in coronary artery bypass grafting. We report a case of small aneurysms in the left anterior descending artery, diagonal branch artery, and right gastroepiploic artery and a pseudoaneurysm in right gastroepiploic artery. Coronary artery bypass grafting was performed using the left internal thoracic artery and right gastroepiploic artery, and a 5-mm aneurysm was observed in the right gastroepiploic artery. The resected 5-mm right gastroepiploic artery aneurysm was saccular. Pathological investigation revealed media loss and adventitial thinning, indicating the possibility of an aneurysm rupture. Thus, preoperative three-dimensional computed tomography is beneficial for patients with coronary arterial aneurysms and preoperative evaluation of right gastroepiploic artery to help achieve good clinical outcomes in patients undergoing coronary artery bypass grafting with another arterial aneurysm.


Author(s):  
Christopher W. Nickum ◽  
Mercedes KC. Dullum ◽  
W. Douglas Boyd ◽  
Dana R. Gray

Endoscopic vessel harvesting has become a widely used modality for harvesting venous and arterial conduits for coronary artery bypass grafting. Specifically, it has been used to harvest the greater saphenous vein, internal thoracic artery, and the radial artery. A case of endoscopic lesser saphenous vein harvesting for coronary artery bypass grafting is reported.


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