OBJECTIVE To assess the early results of combined coronary artery bypass graft surgery and carotid endarterectomy. DESIGN Retrospective and ongoing analysis of patients who underwent combined coronary artery bypass graft surgery and carotid endarterectomy. SETTING Cardiothoracic unit in a London teaching hospital. PATIENTS From June 1987 to March 1995, 64 patients were identified. They we...

Severe coronary artery bypass graft disease occurs at a rate of approximately 16%-31% within the first year of surgery. Clinical and laboratory variables, including postoperative lipid profiles closest to the 1-year follow-up, lipoprotein(a) levels, and homocysteine levels, were assessed as predictors of early (< or = 1 year) symptomatic coronary artery bypass graft disease. Of 77 living consec...

et al. T graft with the right internal thoracic artery to left internal thoracic artery versus the left internal thoracic artery and radial artery: flow dynamics in the internal thoracic artery main stem. A new pattern for using both thoracic arteries to revascularize the entire heart: the pi-graft. Effects of heart rate on phasic Y-graft blood flow and flow reserve in patients with complete ar...

PURPOSE Cardiopulmonary bypass is known to alter propofol pharmacokinetics in patients undergoing cardiac surgery. However, few studies have evaluated the impact of these alterations on postoperative pharmacodynamics. This study was designed to test the hypothesis that changes in propofol pharmacokinetics increase hypnotic effects after cardiopulmonary bypass. METHODS Twenty patients schedule...

Spasm following coronary artery bypass graft surgery has been well established in arterial grafts, especially in grafts utilizing the internal mammary. Venous graft spasms are uncommon and are only observed in vein grafts during or soon after the coronary artery bypass surgery. It is exceedingly rare to see spasm of venous graft beyond one year of surgery. We report a 72-year-old female who had...

S ince the introduction by Floyd Loop at the Cleveland Clinic of the internal mammary artery (IMA) as an arterial graft to bypass the left anterior descending artery (LAD), it has been the gold standard conduit for revascularization, principally because it demonstrated its potent survival benefit in the long term follow-up.1 However, patients with multivessel coronary artery disease (CAD) under...

BACKGROUND The radial artery is often used as the second arterial graft for coronary artery bypass grafting. Little is known about the differences in long-term patency between radial free and T grafts. This study was performed to determine long-term radial artery patency over a 15-year period. METHODS AND RESULTS Radial arteries were used as free grafts or T grafts for coronary artery bypass ...

PURPOSE Due to the increasing longevity of the and high prevalence of coronary heart disease in the aged , coronary artery bypass graft surgery has become frequent in older patients. The purpose of this study is to describe operative features, length of stay, complications and short term outcomes after coronary artery bypass graft in such patients. METHODS From February 2005 to October 2007, ...