| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2001;20:918-922
© 2001 Elsevier Science NL
a Department of Cardiovascular and Thoracic Surgery, University Hospital Center, Rennes, France
b Department of Anesthesiology, University Hospital Center, Rennes, France
Received 13 March 2001; received in revised form 11 July 2001; accepted 18 July 2001.
Corresponding author. Chirurgie Cardiovasculaire, CHR, Centre Cardio-Pneumologique, 2, rue Henri Le Guilloux, 35000 Rennes, France. Tel.: +33-2-99-28-24-90; fax: +33-2-99-28-24-96
e-mail: herve.corbineau{at}chu-rennes.fr
Objective: The objective of this study was to analyze the feasibility of beating heart coronary surgery and to angiographically assess complete revascularisations with routine use of the two internal thoracic arteries (ITA), with the right ITA pedicled and placed through the transverse sinus. The authors report the results of their initial experience of coronary surgery without CPB, which began in December 1998. Methods: From December 1998 to October 1999, 50 patients underwent non-urgent beating heart coronary revascularisation via a median sternotomy with the 2 ITA. Stabilization of the anastomotic site was ensured by the Octopus stabilizer 1 then 2. A troponin Ic assay was systematically performed in the initial postoperative period. With the patient's consent, postoperative angiography was performed before discharge. Results: The mean number of anastomoses was 2.5±0.6 per patient (range: 2–4). Distal anastomoses by arterial grafts were performed in 87% of cases. In one case, the right ITA could not be kept pedicled and tunnelled in the transverse sinus and a Y graft onto the left ITA had to be performed. Left anterior descending-diagonal sequential bypass with the left ITA was performed in seven patients (14%). There was no operative mortality. One patient developed postoperative myocardial infarction. Follow-up angiography was performed in 42 cases (84%), with 104 anastomoses reviewed (85%). The patency rate for all anastomoses was 98.1%, with 90.4% of excellent results. The patency rate of the right ITA was 100%, with 90.5% of excellent results. Conclusions: Beating heart coronary surgery allows revascularisation of all coronary territories. This technique is not an obstacle to the use of the pedicled right ITA tunnelled in the transverse sinus. It is not associated with an increased postoperative morbidity and mortality, and the early follow-up angiographic results are excellent.
Key Words: Off-pump coronary artery bypass grafting • Internal thoracic artery • Angiographic control
This article has been cited by other articles:
|
|
 |
|
  J.-P. Verhoye, I. Abouliatim, A. Drochon, B. de Latour, C. Leclercq, A. Leguerrier, and H. Corbineau Collateral blood flow between left coronary artery bypass grafts and chronically occluded right coronary circulation in patients with triple vessel disease.: Observations during complete revascularisation of beating hearts Eur. J. Cardiothorac. Surg., January 1, 2007; 31(1): 49 - 54. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-P. Verhoye, B. d. Latour, A. Drochon, and H. Corbineau Collateral flow reserve and right coronary occlusion: evaluation during off-pump revascularization Interactive CardioVascular and Thoracic Surgery, February 1, 2005; 4(1): 23 - 26. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M Bonacchi, F Battaglia, E Prifti, M Leacche, N S Nathan, G Sani, and G Popoff Early and late outcome of skeletonised bilateral internal mammary arteries anastomosed to the left coronary system Heart, February 1, 2005; 91(2): 195 - 202. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
