Total Arterial Off-Pump Coronary Artery Bypass Grafting for Revascularization of the Total Coronary System: Clinical Outcome and Angiographic Evaluation

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Presentation transcript:

Total Arterial Off-Pump Coronary Artery Bypass Grafting for Revascularization of the Total Coronary System: Clinical Outcome and Angiographic Evaluation Osamu Tagusari, MD, Junjiro Kobayashi, MD, Ko Bando, MD, Kazuo Niwaya, MD, Hiroyuki Nakajima, MD, Takeshi Nakatani, MD, Toshikatsu Yagihara, MD, Soichiro Kitamura, MD The Annals of Thoracic Surgery Volume 78, Issue 4, Pages 1304-1311 (October 2004) DOI: 10.1016/j.athoracsur.2004.03.094

Fig 1 Y composite graft. The radial artery (RA) shows kinking when the RA as a Y composite graft is sewn on the diagonal (DG) that runs parallel to the left anterior descending artery (LAD) in a side-to-side fashion. (LITA = left internal thoracic artery; OM = obtuse marginal.) The Annals of Thoracic Surgery 2004 78, 1304-1311DOI: (10.1016/j.athoracsur.2004.03.094)

Fig 2 K composite graft. The advantage of the K graft is sparing the length of the radial artery (RA), when bypass is necessary for the diagonal (DG) that runs parallel to the left anterior descending artery (LAD). (LITA = left internal thoracic artery; OM = obtuse marginal; PD = posterior descending; PL = posterolateral.) The Annals of Thoracic Surgery 2004 78, 1304-1311DOI: (10.1016/j.athoracsur.2004.03.094)

Fig 3 X composite graft. In an X graft, the radial artery (RA) can extend fully around the heart from the diagonal (DG) to the posterior descending (PD) artery. (LITA = left internal thoracic artery; OM = obtuse marginal; PL = posterolateral.) The Annals of Thoracic Surgery 2004 78, 1304-1311DOI: (10.1016/j.athoracsur.2004.03.094)

Fig 4 Stenosis of a Y composite graft. Three patients underwent balloon angioplasty, which was performed successfully in the stenosis of the left internal thoracic artery (LITA) just proximal to the connection of the Y composite graft. (RA = radial artery.) The Annals of Thoracic Surgery 2004 78, 1304-1311DOI: (10.1016/j.athoracsur.2004.03.094)

Fig 5 Stenosis of an I composite graft. Coronary stenting was performed in the stenosis of the right internal thoracic artery (RITA) just proximal to the connection of an I composite graft in 1 patient. (RA = radial artery.) The Annals of Thoracic Surgery 2004 78, 1304-1311DOI: (10.1016/j.athoracsur.2004.03.094)