Revascularization of multiple bypassable extended right coronary arteries
| Autor: | Ergin Eren, Mehmet Raşit Güney |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Male
Reoperation Pulmonary and Respiratory Medicine medicine.medical_specialty medicine.medical_treatment Myocardial Ischemia Infarction Myocardial Reperfusion keywords: 23 Coronary Angiography Revascularization Ventricular Dysfunction Left Postoperative Complications Text mining Risk Factors Internal medicine medicine.artery Myocardial Revascularization medicine Humans Prospective Studies Coronary Artery Bypass Aged Ejection fraction business.industry Stroke Volume Arteries Perioperative Middle Aged medicine.disease Coronary Vessels Surgery Coronary arteries Treatment Outcome medicine.anatomical_structure Right coronary artery Circulatory system Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 127:1133-1138 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/j.jtcvs.2003.07.019 |
| Popis: | BackgroundExtended right coronary arteries are not uncommon in coronary surgery. They can be revascularized optionally either by conventional single or complete multiple bypassing. However, there are still no objective data showing the superiority or appropriateness of one of these methods over the other.MethodsExtended right coronary arteries were identified by preoperative angiographic scoring and randomized to multiple-bypassing (group A; n = 32) or single-bypassing (group B; n = 32) groups. Four parameters that show the completeness of right coronary territory revascularization were evaluated and compared between the 2 groups.ResultsAlthough overall perioperative ischemic events seemed to increase in the single-bypass group (P = .0059), half of them were reversible, and there were no statistical differences between the definitive perioperative ischemic event rates, namely, infarction rates, and the remaining 3 parameters of the groups. Logistic regression analysis showed that preoperative left ventricular dysfunction (ejection fraction |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|