PMID- 7606399
OWN - NLM
STAT- MEDLINE
DCOM- 19950811
LR  - 20191023
IS  - 0967-2109 (Print)
IS  - 0967-2109 (Linking)
VI  - 3
IP  - 2
DP  - 1995 Apr
TI  - Sequential internal mammary artery grafting: a viable alternative in myocardial 
      revascularization.
PG  - 155-62
AB  - The internal mammary artery has become the conduit of choice in myocardial 
      revascularization. The expanded use of this ideal conduit for sequential grafting 
      has enhanced its application. Between March 1985 and June 1993, 245 consecutive 
      patients underwent revascularization of the myocardium with internal mammary 
      artery bypass grafts with at least one sequential anastomosis. There were 186 men 
      and 59 women, with a mean age of 65.1 (range 40-82) years. Unstable angina was 
      present in 141 patients (57.6%) and 36 patients (14.7%) had left main coronary 
      artery stenosis (> 50%). Before surgery, five patients (2.0%) were in New York 
      Heart Association (NYHA) class II, 113 (46.1%) in class III, and 127 (51.8%) in 
      class IV. There were a total of 1041 coronary artery grafts, mean 4.2 (range 2-7) 
      grafts per patient and 528 sequential left internal mammary artery anastomoses, 
      mean 2.2 per patient. Hospital mortality rate was 2.4% (six patients). Almost 
      two-thirds of the patients experienced no hospital complications. The most 
      frequent complication included arrhythmia in 36 patients (14.7%), respiratory 
      insufficiency in 15 (6.1)% and temporary left phrenic nerve palsy in ten (4.1%). 
      Mean follow-up was 37.0 (range 1-94.2) months. The mean(s.e.m.) actuarial 
      survival rate for patients discharged from hospital was 94.8(1.6)% at 36 months 
      and 82.4(5.0)% at 72 months. At follow-up of 222 patients, 185 (83.3%) were 
      symptom-free in NYHA class I and 27(12.2%) were in class II. Though technically 
      demanding, multiple sequential internal mammary artery grafting is feasible and 
      can be accomplished with low hospital mortality and morbidity.(ABSTRACT TRUNCATED 
      AT 250 WORDS)
FAU - Bessone, L N
AU  - Bessone LN
AD  - St Joseph's Heart Institute, Tampa, Florida, USA.
FAU - Pupello, D F
AU  - Pupello DF
FAU - Hiro, S P
AU  - Hiro SP
FAU - Lopez-Cuenca, E
AU  - Lopez-Cuenca E
FAU - Glatterer, M S Jr
AU  - Glatterer MS Jr
FAU - Angell, W W
AU  - Angell WW
FAU - Ebra, G
AU  - Ebra G
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - England
TA  - Cardiovasc Surg
JT  - Cardiovascular surgery (London, England)
JID - 9308765
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Internal Mammary-Coronary Artery Anastomosis/*methods
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications
EDAT- 1995/04/01 00:00
MHDA- 2001/03/28 10:01
CRDT- 1995/04/01 00:00
PHST- 1995/04/01 00:00 [pubmed]
PHST- 2001/03/28 10:01 [medline]
PHST- 1995/04/01 00:00 [entrez]
AID - 096721099590887B [pii]
AID - 10.1016/0967-2109(95)90887-b [doi]
PST - ppublish
SO  - Cardiovasc Surg. 1995 Apr;3(2):155-62. doi: 10.1016/0967-2109(95)90887-b.