Reoperations the right gastroepiploic artery without cardiopulmonary bypass

Mohammed Akhter, Thomas Z. Lajos, Gary Grosner, Jacob Bergsland, Tomas Salerno

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The right gastroepiploic artery (RGEA) has been utilized as the bypass conduit oh the Inferior surface of the heart with a minimally Invasive approach. Fourteen patients had reoperative coronary bypass surgery for severely symptomatic single-vessel disease of the right coronary artery. All surgeries were performed since May 1996. A small mid-line incision including splitting of the lower sternum gave excellent exposure. The inferior surface of the heart was dissected to expose and stabilize the target vessel. The heart rate was controlled with a diltiazem drip. Cardiopulmonary bypass was not necessary in any case. The right coronary artery was bypassed in three patients, the posterior descending artery branch in ten patients, and the terminal circumflex of the left coronary artery in one. After grafting, patency of the anastomosis was demonstrated by Doppler echocardiogram. Two patients had left anterior descending artery (LAD) grafts with LIMA (left mammary artery) and RGEA grafts performed simultaneously with two port access incisions. No patient had perioperative mortality or complications. No patient had recurrent angina. Doppler color echocardiographic imaging studies before discharge confirmed patency of the graft in 13 of 14 cases. In one case, the gastroepiploic artery could not be visualized. Angiographic visualization was positive in seven cases; seven patients were not studied yet. The gastroepiploic artery is an excellent conduit for vascularization of the inferior aspect of the heart. The operation can be done with a minimally invasive technique and without the use of cardiopulmonary bypass. This approach seems especially applicable In selective reoperative cases.

Original languageEnglish
Pages (from-to)210-214
Number of pages5
JournalJournal of Cardiac Surgery
Volume12
Issue number4
StatePublished - Dec 1 1997
Externally publishedYes

Fingerprint

Gastroepiploic Artery
Cardiopulmonary Bypass
Reoperation
Transplants
Coronary Vessels
Arteries
Sternum
Mammary Arteries
Diltiazem
Coronary Artery Disease
Color
Heart Rate
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Akhter, M., Lajos, T. Z., Grosner, G., Bergsland, J., & Salerno, T. (1997). Reoperations the right gastroepiploic artery without cardiopulmonary bypass. Journal of Cardiac Surgery, 12(4), 210-214.

Reoperations the right gastroepiploic artery without cardiopulmonary bypass. / Akhter, Mohammed; Lajos, Thomas Z.; Grosner, Gary; Bergsland, Jacob; Salerno, Tomas.

In: Journal of Cardiac Surgery, Vol. 12, No. 4, 01.12.1997, p. 210-214.

Research output: Contribution to journalArticle

Akhter, M, Lajos, TZ, Grosner, G, Bergsland, J & Salerno, T 1997, 'Reoperations the right gastroepiploic artery without cardiopulmonary bypass', Journal of Cardiac Surgery, vol. 12, no. 4, pp. 210-214.
Akhter, Mohammed ; Lajos, Thomas Z. ; Grosner, Gary ; Bergsland, Jacob ; Salerno, Tomas. / Reoperations the right gastroepiploic artery without cardiopulmonary bypass. In: Journal of Cardiac Surgery. 1997 ; Vol. 12, No. 4. pp. 210-214.
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