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Korean J Thorac Cardiovasc Surg 2000; 33(8): 638-642
Published online August 5, 2000
Copyright © Journal of Chest Surgery.
Hyun Song, M.D.*, Han Jung Lim, M.D.*, Hyun Woo Lee, M.D.**, Jong Pil Jung, M.D.***, Je kyoun Shin, M.D.***, Jong Ook Kim, M.D.****, Jong Bin Park, M.D.****, Jae Won Lee. M.D.*, Meong Gun Song, M.D.*,
*Dept. of Cardiovascular and Thoracic Surgery, Asan Medical Center, Ulsan University, **Department of Cardiovascular and Thoracic Surgery, Gacheon University, ***Department of Cardiovascular and Thoracic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, ***Department of cardiovascular and Thoracic Surgery, Ulsan University Kangnung Medical Center
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: In an effort to enhance long term patency of coronary bypass grafts, utilization of arterial conduits have been on an increase. With the same objective, we have been using the right gastroepiploic artery(RGEA) in coronary artery bypass procedures since 1998. The current paper has been undertaken with the aim of assessing the appropriateness, problems, and short term results of using the RGEA as an arterial graft conduit by studying the postoperative clinical results of 100 patients that received coronary artery bypass grafting (CABG) with this artery.
Material and Method: Between May of 1998 and May of 1999, an analysis of the mortality, postoperative myocardial infarction, and the need for IABP insertion as a result of low cardiac output were made between 100 consecutive patients undergoing CABG with the RGEA.
Result:There was one postoperative death due to cerebral infarction. Postoperative complications/morbidity comprised myocardial infarction in 2, cerebral infarct in 3, reoperation due to bleeding in 1, mediastinitis in 1, and low cardiac output syndrome necessitating IABP in 3 patients. Complications related to harvesting of the arterial grafts were not experienced in any of the patients.
Conclusion:The results of the current data show that utilization of the RGEA in CABG is not associated with increased mortality/morbidity and demonstrates satisfactory short term results suggesting the usefulnessof this conduit as an arterial graft.
(Korean Thorac Cardiovasc Surg 2000;33:638-42)
Keywords: Gastroepiploic artery, Coronary artery bypass, Postoperative complications
Korean J Thorac Cardiovasc Surg 2000; 33(8): 638-642
Published online August 5, 2000
Copyright © Journal of Chest Surgery.
Hyun Song, M.D.*, Han Jung Lim, M.D.*, Hyun Woo Lee, M.D.**, Jong Pil Jung, M.D.***, Je kyoun Shin, M.D.***, Jong Ook Kim, M.D.****, Jong Bin Park, M.D.****, Jae Won Lee. M.D.*, Meong Gun Song, M.D.*,
*Dept. of Cardiovascular and Thoracic Surgery, Asan Medical Center, Ulsan University, **Department of Cardiovascular and Thoracic Surgery, Gacheon University, ***Department of Cardiovascular and Thoracic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, ***Department of cardiovascular and Thoracic Surgery, Ulsan University Kangnung Medical Center
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: In an effort to enhance long term patency of coronary bypass grafts, utilization of arterial conduits have been on an increase. With the same objective, we have been using the right gastroepiploic artery(RGEA) in coronary artery bypass procedures since 1998. The current paper has been undertaken with the aim of assessing the appropriateness, problems, and short term results of using the RGEA as an arterial graft conduit by studying the postoperative clinical results of 100 patients that received coronary artery bypass grafting (CABG) with this artery.
Material and Method: Between May of 1998 and May of 1999, an analysis of the mortality, postoperative myocardial infarction, and the need for IABP insertion as a result of low cardiac output were made between 100 consecutive patients undergoing CABG with the RGEA.
Result:There was one postoperative death due to cerebral infarction. Postoperative complications/morbidity comprised myocardial infarction in 2, cerebral infarct in 3, reoperation due to bleeding in 1, mediastinitis in 1, and low cardiac output syndrome necessitating IABP in 3 patients. Complications related to harvesting of the arterial grafts were not experienced in any of the patients.
Conclusion:The results of the current data show that utilization of the RGEA in CABG is not associated with increased mortality/morbidity and demonstrates satisfactory short term results suggesting the usefulnessof this conduit as an arterial graft.
(Korean Thorac Cardiovasc Surg 2000;33:638-42)
Keywords: Gastroepiploic artery, Coronary artery bypass, Postoperative complications
1999; 32(9): 790-798