Atherosclerosis of the inferior epigastric and internal mammary arteries
| Autor: | Matti Tarkka, R. Aine, Erkki Pehkonen, O. Teerenhovi |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male medicine.medical_specialty Arteriosclerosis Coronary Artery Disease Internal medicine medicine.artery medicine Humans Derivation Coronary Artery Bypass Mammary Arteries Inferior epigastric artery Vascular disease business.industry Middle Aged medicine.disease Epigastric Arteries medicine.anatomical_structure Mammary artery Cardiology Distal segment Female Radiology Cardiology and Cardiovascular Medicine Complication business Artery Calcification |
| Zdroj: | Scandinavian journal of thoracic and cardiovascular surgery. 29(2) |
| ISSN: | 0036-5580 |
| Popis: | Atherosclerosis of the inferior epigastric artery (IEA) and the internal mammary artery (IMA) was evaluated in 21 patients with coronary heart disease. Both arteries were used simultaneously in coronary artery bypass grafting. Histologic samples were obtained from the proximal and distal segments of IEA and from the distal segment of IMA. Morphologic findings in regard to atherosclerosis were classified semiquantitatively as normal (0), or luminal narrowing25% (1), 25-50% (2) or50% (3), or as overt atherosclerosis and calcification (4). Atherosclerosis was absent or minimal (1) in distal samples from both arteries. Only one IMA showed moderate (2) luminal atherosclerotic obstruction. Two samples from proximal IEA showed moderate (2) or severe (4) atherosclerotic changes which limited their use as free grafts. These finding suggest that atherosclerosis is minimal and comparable in distal IEA and IMA in their natural environments even in patients with coronary heart disease. The long-term effect of aortic pressure on free IEA graft is still unclear. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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