Korean J Thorac Cardiovasc Surg.
2000 Feb;33(2):151-159.
Arterry Bypas Graft with the Right Gastroepiploic Artery: Clinical and Angiographic Short-Term Results
- Affiliations
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- 1Department of Cardiovascular Surgery, Cardiovascular Center, Yonsei University College of Medicine.
- 2Department of Thoracic and Cardiovascular Surgery, Young-dong Severance Hospital, Yonsei University College of Medicine.
- 3Kilimanzaro Christian Medical Center, Tanzania, Africa.
- 4Department of Cardiology, Cardiovascular Center, Yonsei University College of Medicine.
Abstract
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BACKGROUND: The right gastroepiploic artery(RGEA) has been use in coronary artery bypass
grafting from 1987. The RGEA is the most useful arterial conduit in coronary artery bypass
grafting(CABG) followed by the internal mammary artery,
MATERIALS AND METHOD: From Septermber 1998 to February 1999 the RGEA was used for coronary
artery bypass grafting in 11 patients 10 males and 1 female. Postoperative angiography was
performed in all of the patients before discharge
RESULT: Early patent rate of the RGEA was 100%. The flow competition of the REGA graft was
seen in 4 patients(36.4%) The flow pattern war RGEA dependent type in the inner diameter of
the recipient coronary artery 1.5 mm the inner diameter of the RGEA 2.5 mm and the rtio of
inner diameter of the RGEA and the recipient coronary artery 1(p<0.05)
CONCLUSION
Early results of CABG with RGEA was satisfactory. However the RGEA graft has a tendency of flow competition in relation to the inner diameter of graft. Preoperative angiographic evaluation for RGEA and meticulous operative technique are required for a good surgical results.
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