Purely internal thoracic artery grafts: outcomes
| Autor: | Terence M. Schmahl, Alfred J. Tector, David C. Kress, Monica L. McDonald, Francis X Downey |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Reoperation Pulmonary and Respiratory Medicine medicine.medical_specialty Sequential anastomosis Coronary Disease Internal thoracic artery Coronary artery disease Postoperative Complications Internal medicine medicine.artery Humans Medicine In patient Derivation Coronary Artery Bypass Mammary Arteries Aged Retrospective Studies Aged 80 and over business.industry Anastomosis Surgical Arteries Middle Aged medicine.disease Surgery Survival Rate Treatment Outcome Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 72:450-455 |
| ISSN: | 0003-4975 |
| Popis: | Background . Most of our patients with coronary artery disease have undergone bypass exclusively with purely internal thoracic artery grafts (PITA). Our goal has been to lengthen the time a patient benefits from coronary bypass operations. The present report describes an 8.5-year study of outcomes including mortality and the need for reintervention in patients who have undergone bypass with PITA. Methods . We studied 897 patients who underwent PITA with a total of 3,784 internal thoracic artery (ITA) grafts (4.2 grafts per patient). Connecting ITA to ITA along with sequential anastomosis made the procedure possible. Results . Early mortality for the group was 2.3%. Freedom from death was 86% and freedom from reintervention was 94% at 5 years after the operation. Conclusions . The acceptable early and late mortality and the 94% freedom from reintervention as long as 8.5 years after operation in this group of patients inspire us to continue choosing PITA for patients with three-vessel coronary artery disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|