Total Arterial Revascularization In Coronary Artery Bypass Surgery Using Right Gastroepiploic Artery "Options and Complications"

Ahmed Abdul Rahman Mohammed;

Abstract


The choice of graft conduit is crucial to the success of coronary a11ery bypass grafting "CABG" because the patency of a coronary conduit is closely associated with an uneventful post operative course and better long term patient survival.
Cadiac surgeons agree that arterial gratis yield a more satisfactory long term clinical out come than do autologous saphenous vein ,>Tafts.
In contrast arterial grafts are highly resistant to atherosclerosis.lf patent immediately after surgery,they tend to remain patent i1idcfinitely.
Right gastroep.iploic aJ1ery was first implanted as a direct bypass graft m

1974 by Edwards (Mills N.L.,Everson, 1989).the gastroepiploic m1erv is generally used as pedieled graft.It is suitable for bypassing the right coronary artery,the circumflex a11ery,or the left anterior descending artery
& its diagonal branch.

Despite the known reputation of the graft of being a highly spastic one,mid term results show patency of 94% with no evidence of significant intimal hyperplasia(Suma ii. Et al.,l996).


Other data

Title Total Arterial Revascularization In Coronary Artery Bypass Surgery Using Right Gastroepiploic Artery "Options and Complications"
Other Titles الترقيع الشريانى الكلى فى جراحة الشرايين التاجية باستعمال الشريان الأيمن ( المزايا والمضاعفات )
Authors Ahmed Abdul Rahman Mohammed
Issue Date 2000

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