Three arteries versus the saphenous vein for coronary artery bypass graft: Why use a damaged graft to repair a damaged heart? Andrzej Loesch, PhD, DSc,

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Presentation transcript:

Three arteries versus the saphenous vein for coronary artery bypass graft: Why use a damaged graft to repair a damaged heart? Andrzej Loesch, PhD, DSc, Michael R. Dashwood, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 5, Pages 1460-1462 (November 2016) DOI: 10.1016/j.jtcvs.2016.06.028 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Representative light microscopic toluidine blue-stained transverse sections comparing no-touch (A, B) and conventional (C) SV. A, No-touch SV displays lumen (lu), intimal folds (arrows), media (M), adventitia (A), and peri/paravascular connective tissue (CT). B, A fragment of no-touch SV showing islands of smooth muscle (asterisks) located in the adventitia; adventitial vasa vasorum (Vv), and adipose tissue (ad). C, A fragment of SV harvested conventionally showing the lack of characteristic intimal folds, which, together with the media, have been distended. Note that only remnants of adventitia and peri/paravascular connective tissue (A-CT) remain. Asterisks indicate islands of SM. col, Bundles of collagen intermingled with elastin. All at original magnification ×92. (Modified from the original black and white figure published in Ahmed et al,4 which we acknowledge.) The Journal of Thoracic and Cardiovascular Surgery 2016 152, 1460-1462DOI: (10.1016/j.jtcvs.2016.06.028) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

The Journal of Thoracic and Cardiovascular Surgery 2016 152, 1460-1462DOI: (10.1016/j.jtcvs.2016.06.028) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions