Long-term results of reconstructions of the left anterior descending coronary artery in diffuse atherosclerotic lesions Oguz Tasdemir, MDa, Ugursay Kiziltepe,

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Presentation transcript:

Long-term results of reconstructions of the left anterior descending coronary artery in diffuse atherosclerotic lesions Oguz Tasdemir, MDa, Ugursay Kiziltepe, MDa, Haldun Y. Karagöz, MDa, Birol Yamak, MDa, Sule Korkmaz, MDb, Kemal Bayazit, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 112, Issue 3, Pages 745-754 (September 1996) DOI: 10.1016/S0022-5223(96)70061-2 Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 Actuarial estimates of survival after coronary artery revascularizations with three different techniques. Survival in group I was statistically significantly higher than in group II. Survivals were similar in groups I and III. GI, Group I; GII, group II; GIII, group III; n.s., not significant. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 745-754DOI: (10.1016/S0022-5223(96)70061-2) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Actuarial estimates of freedom from recurrent angina pectoris. Recurrent angina apparently is less common in group III patients than in patients from groups I and II. Abbreviations as in Fig. 1. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 745-754DOI: (10.1016/S0022-5223(96)70061-2) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Coronary angiogram at 32 months in a patient with a 6 cm long open endarterectomy and patch reconstruction with the distal end of an ITA graft. The endarterectomy and reconstruction site is between the arrows. Regular walls, a lumen with an acceptable width, and good filling of septal perforators are noticeable. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 745-754DOI: (10.1016/S0022-5223(96)70061-2) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 4 Coronary angiogram of a patient with open endarterectomy, saphenous vein patch reconstruction, and ITA grafting at 37 months after the operation. There is overt distortion with irregular walls and aneurysmal dilatations at the patch reconstruction site, which is prone to early occlusion. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 745-754DOI: (10.1016/S0022-5223(96)70061-2) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 5 Coronary angiogram of a patient with open endarterectomy and patch reconstruction with the distal end of an aorta-coronary saphenous vein graft at 2 months after operation. The lumen at the endarterectomy and reconstruction site is irregular and patulous. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 745-754DOI: (10.1016/S0022-5223(96)70061-2) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 6 Coronary angiogram of a patient with patch reconstruction with ITA over a stenosing plaque without endarterectomy. Arrow indicates the end of the patch reconstruction site. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 745-754DOI: (10.1016/S0022-5223(96)70061-2) Copyright © 1996 Mosby, Inc. Terms and Conditions