OBJECTIVE We sought to identify differentially expressed genes in the athero-prone coronary artery and athero-resistant internal mammary arteries. METHODS AND RESULTS Using suppressive subtraction hybridization, we generated reciprocal cDNA collections of representative mRNAs specific to porcine coronary arteries versus porcine mammary arteries. We screened 1000 suppressive subtraction hybrid...

BACKGROUND Total arterial coronary revascularization can be achieved by joining arteries together as a composite graft with the proximal left internal mammary artery as the only source of blood inflow. Proof of the capacity of this composite conduit to provide adequate blood flow to the coronary circulation is required. METHODS The radial artery was anastomosed to the left internal mammary ar...

Deep sternal wound infection is a severe complication after open heart surgery. According to the different severity and dimensions of the deep sternal wound infection, the treatment method is different. In this study, we aimed to describe our experience with the rectus abdominis myocutaneous flap for large sternal wound management, especially when 1 or 2 internal mammary arteries were absent.Be...

A 73-year old lady underwent investigations into a continuous murmur 8 years after she had undergone aortic valve replacement for severe aortic stenosis. The subsequent cardiac computed tom-ography demonstrated an internal mammary arterio-venous fistula (Fig. 1). In this case, we postulate that a sternotomy wire has resulted in fistula formation. Figure 1: Branches of the internal mammary arter...

Hybrid revascularization of multivessel coronary artery disease by combining bypass grafting (CABG) and chronic total occlusion (CTO) percutaneous intervention (PCI) is a relatively novel concept. CABG-CTO PCI aims to combine the durable clinical benefits left internal mammary graft (ideally minimally invasively) with durability CTO in non-left anterior descending vessels. This review assesses ...

DOI: 10.5935/abc.20140160 An 80-year-old man was admitted to our hospital because of an acute coronary syndrome. He had undergone coronary artery bypass grafting (CABG) 12 years ago, which involved a left internal mammary artery (LIMA) graft to the left anterior descending coronary artery. Direct LIMA injection revealed an arteriovenous fistula between the distal portion of a grossly dilated LI...

A 76-year-old man who had a history of diabetes mellitus, hypertension, and hyperlipidemia was referred to our hospital for surgical intervention of his coronary artery. He does not have any history of chest trauma previously. This patient also had a history of 2 previous percutaneous coronary artery interventions. In 2000, he underwent stent insertion to the right coronary artery (RCA) and the...

behalf of the ART Investigators. Randomized trial to compare bilateral vs. single internal mammary coronary artery bypass grafting: 1-year results of the Arterial Revascularisation Trial (ART). Eur Heart J 2010;31:2470–2481. First published on 30 August 2010. doi:10.1093/eurheartj/ehq318. 12. Taggart DP, Lees B, Gray A, Altman DG, Flather M, Channon K. Protocol for the Arterial Revascularisatio...

tion (TOPCARE-AMI). Circulation 2002;106:3009–3017. 22. Baks T, van Geuns RJ, Biagini E, Wielopolski P, Mollet NR, Cademartiri F, Boersma E, van der Giessen WJ, Krestin GP, Duncker DJ, Serruys PW, de Feyter PJ. Recovery of left ventricular function after primary angioplasty for acute myocardial infarction. Eur Heart J 2005;26:1070–1077. 23. Tarantini G, Razzolini R, Cacciavillani L, Bilato C, S...

OBJECTIVE This study aimed to show the effects of intra-operative diltiazem infusion on flow in arterial and venous grafts in coronary artery bypass graft surgery. METHODS Hundred fourty patients with a total of 361 grafts [205 (57%) arterial and 156 (43%) venous] underwent isolated coronary surgery. All the grafts were measured by intraoperative transit time flow meter intra-operatively. Gro...