Histomorphologic superiority of internal thoracic arteries over right gastroepiploic arteries for coronary bypass Tomohiro Nakajima, MD, Kazutoshi Tachibana,

Slides:

Advertisements

Similar presentations

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Stephen R. Broderick, MD, MPHS

I know what the studies say, but what should I do for my patient?

Mitral stenosis with pulmonary hypertension: We should operate early

Incomplete transmural ablation caused by bipolar radiofrequency ablation devices Wataru Kato, MD, Akihiko Usui, MD, Hideki Oshima, MD, Toshiaki Akita,

Morphometric Study of the Right Gastroepiploic and Inferior Epigastric Arteries Jacques A.M van Son, Frank M Smedts, Cheng-Qin Yang, Marcel Mravunac,

Congenital left internal thoracic artery–pulmonary artery fistula used as an inflow for a coronary artery bypass graft Yoshiharu Soga, MD, PhD, Michiya.

Acute bilateral pulmonary embolism and complete occlusion of the left internal carotid artery caused by paradoxical embolus through a persistent foramen.

Results of a hybrid procedure for patients with proximal left subclavian artery stenosis and coronary artery disease Hao Hong, MD, Long Wu, MD, Chao.

Redefining the histopathologic profile of acute aortic syndromes: Clinical and prognostic implications Ornella Leone, MD, Davide Pacini, MD, PhD, Alberto.

Long-term biventricular support with rotary blood pumps in a patient with a noncontractile heart Taichi Sakaguchi, MD, Shunsuke Saito, MD, Daisuke Yoshioka,

Anomalous aortic origin of a coronary artery in the Ross operation: Attention to minor details averts major problems Igor E. Konstantinov, MD, PhD, FRACS

Ultrasound, endoscopy, and the recurrent nerve

Valve-sparing aortic root replacement in a patient with a rare connective tissue disorder: Arterial tortuosity syndrome Tomaso Bottio, MD, PhD, Gianluigi.

Neel R. Sodha, MD, Frank W. Sellke, MD

The days of future past Neel K. Ranganath, MD, Aubrey C. Galloway, MD

Right internal thoracic artery or saphenous vein grafting

Which is more important in the potential interference on cardioprotection by remote ischemic preconditioning: β-blockers or anesthetic choice? Yang Liu,

Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials Hisato Takagi, MD, PhD,

J. Bonatti, MD, T. Schachner, MD, N. Bonaros, MD, A. Öhlinger, MD, M

Victor van Berkel, MD, PhD

The Journal of Thoracic and Cardiovascular Surgery

Application of a neuroscience research model to study neuroprotection in children with congenital heart disease Nobuyuki Ishibashi, MD, Richard A. Jonas,

Multilevel data analysis: What? Why? How?

How should we treat air leaks?

Go on-pump or off-pump in diabetic patients?

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

The lord of the rings Antonio Miceli, MD, PhD

High-resolution computed tomography with three-dimensional reconstruction for assessment of chronic pulmonary thromboembolic disease Thoralf M. Sundt,

Igor E. Konstantinov, MD, PhD, FRACS

Three-dimensional evaluation of ductal tissue in coarctation of the aorta using X-ray phase-contrast tomography Ryuma Iwaki, MD, Hironori Matsuhisa,

Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model Daniel.

Anomalous left coronary artery from the pulmonary artery with an intramural course within the aortic wall: Report of 3 surgical cases Steven P. Goldberg,

Support Your Specialty

Pathologic features of cryopreserved aortic allograft implanted in the active infection Akitoshi Yamada, MD, Kenji Okada, MD, Rei Takahashi, MD, Yutaka.

Oh, father, where art we? Left internal mammary artery with greater saphenous vein grafts still rules surgical coronary revascularization after 30 years

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

For everything there is a season

Military surgeons just want to have fun

Stephen R. Broderick, MD, MPHS

Meghana R. K. Helder, MD, Nicholas T

Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass Benjamin Medalion, MD, Michael G. Katz, MD,

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

Guidelines should bother us, not comfort us

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Morphologic changes of the saphenous vein Y-composite graft based on the left internal thoracic artery: 1-year intravascular ultrasound study Ho Young.

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Shunt right or left? Decision 2016

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Keep it short and sweet Ian A. Makey, MD, Scott B. Johnson, MD

The future of cardiac surgery training: A survival guide

Spot the mesh: Six-month follow-up

Morphology and histology of human and canine internal thoracic arteries Tadahiro Sasajima, MD, Vishwanath Bhattacharya, MD, Moses Hong-De Wu, MD, Qun.

The Journal of Thoracic and Cardiovascular Surgery

“The more things change…”: The challenges ahead

Appropriate Use Criteria for coronary revascularization in patients with stable ischemic heart disease: What the surgeon needs to know Harold L. Lazar,

Apples remain apples NO matter what

A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.

Preoperative PFTs: The answer is blowing in the wind

Fasudil Is a Superior Vasodilator for the Internal Thoracic Artery in Coronary Surgery Go Watanabe, MD, PhD, Yukihiro Noda, MD, PhD, Takeshi Takagi, MD,

Of mice and men… The Journal of Thoracic and Cardiovascular Surgery

How do we follow up our patients

Journal changes and initiatives

Intraoperative endocardial ultrasonography: Improving safety in mitral valve surgery Juan A. Crestanello, MD The Journal of Thoracic and Cardiovascular.

Prevention of stenosis after vascular reconstruction: Pharmacologic control of intimal hyperplasia—A review Alexander W. Clowes, MD, Michael A. Reidy,

Edward Y. Chan, MD, Michael J. Reardon, MD

Presentation transcript:

Histomorphologic superiority of internal thoracic arteries over right gastroepiploic arteries for coronary bypass Tomohiro Nakajima, MD, Kazutoshi Tachibana, MD, Nobuyuki Takagi, MD, Toshiro Ito, MD, Nobuyoshi Kawaharada, MD The Journal of Thoracic and Cardiovascular Surgery Volume 151, Issue 6, Pages 1704-1708 (June 2016) DOI: 10.1016/j.jtcvs.2016.02.018 Copyright © 2016 Terms and Conditions

Figure 1 Representative gastroepiploic artery section showing indices used to evaluate severity of intimal thickness (Elastica van Gieson stain; original magnification, ×20). The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1704-1708DOI: (10.1016/j.jtcvs.2016.02.018) Copyright © 2016 Terms and Conditions

Figure 2 Gastroepiploic artery (GEA) specimens from 2 different patients. A, GEA with concentric nonatheromatous intimal thickening (Elastica van Gieson stain; original magnification, ×40). This patient was a 52-year-old man with hypertension and hyperlipidemia; his glycated hemoglobin (HbA1c) concentration was 5.4%. B, Normal GEA. The intima is a very thin layer consisting mainly of endothelium (Elastica van Gieson stain; original magnification, ×40). This patient was a 70-year-old woman with diabetes, smoking, hypertension, and hyperlipidemia; her HbA1c was 6.6%. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1704-1708DOI: (10.1016/j.jtcvs.2016.02.018) Copyright © 2016 Terms and Conditions

Figure 3 Three histopathologic specimens from 1 patient. This patient was a 60-year-old man with hypertension and hyperlipidemia; his glycated hemoglobin (HbA1c) was 6.0%. A, Gastroepiploic artery (GEA) with moderate concentric nonatheromatous intimal thickening. B, Normal left internal thoracic artery (LITA). The intima is a very thin layer consisting mainly of endothelium resting on the internal elastic lamina. C, Normal right internal thoracic artery (RITA). The intima is very thin (Elastica van Gieson stain; original magnification, ×40). The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1704-1708DOI: (10.1016/j.jtcvs.2016.02.018) Copyright © 2016 Terms and Conditions

Figure 4 Scatter plot of intimal width of the left internal thoracic artery (LITA), right internal thoracic artery (RITA), and gastroepiploic artery (GEA). The GEA is variously scattered, and the intimal thickness increases in parallel with the glycated hemoglobin (HbA1c) concentration, whereas the intima of both internal thoracic arteries does not. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1704-1708DOI: (10.1016/j.jtcvs.2016.02.018) Copyright © 2016 Terms and Conditions

Tomohiro Nakajima, MD The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1704-1708DOI: (10.1016/j.jtcvs.2016.02.018) Copyright © 2016 Terms and Conditions