Isolated left anterior descending coronary atherosclerosis: long-term comparison of internal mammary artery and venous autografts.
نویسندگان
چکیده
A consecutive series of 100 patients receiving left internal mammary artery grafts and a consecutive series of 100 patients receiving saphenous vein grafts as treatment of isolated left anterior descending coronary artery stenosis were reviewed to determine survival, graft patency, disease progression and New York Heart Association functional class. The mean follow-up was 67 months, and the mean catheterization interval was 20 months. Recommendations for revascularization can be made selectively to patients with critical isolated left anterior descending stenoses who have limiting symptoms and large areas of viable myocardium at risk.
منابع مشابه
Early Clinical Outcomes and Mortality of Coronary Endarterectomy in the Left Anterior Descending Artery: A Single-Center Experience
Introduction: Although coronary endarterectomy is not an ideal procedure, it is the only available option for cardiac surgeons in some patients with diffuse coronary artery disease. Based on the majority of conducted studies, the results of coronary endarterectomy (including survival, graft patency, and recurrence of the symptoms of myocardial ischemia) are less prevalent than standard coronary...
متن کاملDoes reasonable incomplete surgical revascularization affect early or long-term survival in patients with multivessel coronary artery disease receiving left internal mammary artery bypass to left anterior descending artery?
BACKGROUND The objective was to evaluate the impact of complete revascularization (CR) versus reasonable incomplete surgical revascularization (IR) in others than left anterior descending artery territory on early and late survival in patients with multivessel coronary artery disease (CAD). METHODS AND RESULTS During a 7-year period, 8.806 consecutive patients with multivessel CAD affecting t...
متن کاملAnomalous Origin of the Left Internal Mammary Artery from the Aortic Arch: A Case Report and Review of the Literature
The left internal mammary artery is commonly used during coronary artery bypass grafting to provide direct revascularization for arteries, typically left anterior descending artery, with significant coronary atherosclerosis. In the world medical literature, we identified only 3 cases of well-documented anomalous origin of the left internal mammary artery from the aortic arch identified followin...
متن کاملAnomalous origin of the left internal mammary artery from the aortic arch.
ide, Q , the P f this 2) sele A 67-year-old diabetic man with a pacemaker for symptomatic bradycardia underwent cardiac catheterization for unstable angina, 19 years after coronary artery bypass graft surgery. There were bilateral pedicled internal mammary grafts—from the left internal mammary artery (LIMA) to the left anterior descending coronary artery (LAD), and from the right internal mamma...
متن کاملReappraisal of Importance of the Left Internal Mammary Artery to the Left Anterior Descending Artery in Improving Mid-term Outcome in Patients with Severe Left Ventricular Dysfunction
We sought to investigate the effects of the left internal mammary artery anastomosed to the left anterior descending artery for improving mid-term outcome in patients with severe left ventricular dysfunction. Twenty consecutive coronary artery bypass grafts performed by a single surgeon for less than 35% ejection fraction patients were reviewed retrospectively from April 2000 to November 2008. ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Circulation
دوره 61 5 شماره
صفحات -
تاریخ انتشار 1980