OBJECTIVE Coronary artery bypass grafting is currently the best treatment for dialysis patients with multivessel coronary artery involvement. Vasoplegic syndrome of inflammatory etiology constitutes an important postoperative complication, with highly negative impact on prognosis. Considering that these patients have an intrinsic inflammatory response exacerbation, our goal was to evaluate the ...

We describe a surgical case of coronary-coronary bypass grafting using the saphenous vein for revascularization of the right coronary artery during concomitant graft replacement of the ascending aorta. This technique of coronary revascularization can be used as an alternative to avert the need for a prosthetic graft to coronary artery bypass grafting in cases with potential problems of anastomo...

cor triatriatum   sinistrum is a rare congenital cardiac malformation, accounting for about 0.1-0.4% of all congenital heart diseases and characterized by the presence of a fibromuscular membrane that subdivides the left atrium into two chambers in the classical form. while classic cor triatriatum in most patients can be observed during the neonatal period or early infancy, it is very rare in a...

A 52-year-old man, who presented with two-vessel coronary artery disease and severe arterial occlusive disease with occlusions and/or stenoses of all aortic arch branches, underwent simultaneously coronary artery bypass grafting and bilateral aortic-subclavian as well as left-sided aortic-carotidal bypass grafting.

Controversy exists concerning the best management of patients with coronary artery and carotid artery disease. Between June 1994 and July 2000, 88 patients with coronary artery and carotid artery disease underwent combined coronary artery surgery and carotid endarterectomy. Demographics and perioperative variables of these patients were compared with those of 266 patients undergoing isolated co...

OBJECTIVES To review the evolution of off-pump coronary artery bypass surgery with particular reference to the anaesthetic and perioperative implications. FINDINGS After review of the literature regarding coronary artery bypass grafting, the adverse effects of cardiopulmonary bypass on the various systems are discussed The development and the present status of off-pump coronary artery bypass ...

A multipurpose arterial graft holder designed for use during coronary artery bypass grafting is described. This new holder is atraumatic and holds the arterial grafts and saphenous vein graft securely during anastomosis. The use of this instrument facilitates the use of multiple arterial grafts for coronary artery bypass grafting.

OBJECTIVE The radial artery is frequently the second graft of choice after the left internal thoracic artery in coronary artery bypass graft surgery. However, the optimal radial artery proximal anastomosis site remains controversial. The aim of the present study was to compare the radial artery patency according to its use as either an aorta-radial artery graft or composite radial artery graft ...

This is one of two coronary revascularisation techniques currently used in the treatment of coronary artery disease, the other being percutaneous coronary intervention (PCI). The patient will already have had a clinical diagnosis of coronary heart disease (CHD), confirmed by coronary angiography to delineate the obstruction. If PCI is feasible, it may be performed at the time of coronary angiog...

OBJECTIVE To assess whether revascularisation that is considered to be clinically appropriate is also cost effective. DESIGN Prospective observational study comparing cost effectiveness of coronary artery bypass grafting, percutaneous coronary intervention, or medical management within groups of patients rated as appropriate for revascularisation. SETTING Three tertiary care centres in Lond...