Avoiding sternotomy in repeat coronary artery bypass grafting: Feasibility, safety, and mid-term outcome of the transabdominal off-pump technique using.

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Presentation transcript:

Avoiding sternotomy in repeat coronary artery bypass grafting: Feasibility, safety, and mid-term outcome of the transabdominal off-pump technique using the right gastroepiploic artery Giuseppe Tavilla, MD, PhD,, Eline F. Bruggemans, MSc The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 1, Pages 124-129 (July 2012) DOI: 10.1016/j.jtcvs.2011.07.060 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Kaplan-Meier estimates of event-free rates in patients reoperated on using the transabdominal approach without any sternotomy. A, Overall survival. B, Freedom from major cardiovascular and cerebrovascular events (MACCE). The Journal of Thoracic and Cardiovascular Surgery 2012 144, 124-129DOI: (10.1016/j.jtcvs.2011.07.060) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Angiographic views of the right gastroepiploic artery (GEA) 5 years after surgery (patient 12, Table 1). A, The GEA graft is patent but a stenosis in the recipient segment of the saphenous vein graft (SVG) is present. B, Aspect after successful percutaneous coronary intervention of the SVG throughout the GEA. PDA, Posterior descending artery of the right coronary artery (RCA); PLR, posterolateral branch of the RCA; cath, angiographic catheter. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 124-129DOI: (10.1016/j.jtcvs.2011.07.060) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Angiography showing a patent right gastroepiploic artery (GEA) graft 5 years after surgery (patient 8, Table 1). The GEA was anastomosed to the right coronary artery (RCA). The Journal of Thoracic and Cardiovascular Surgery 2012 144, 124-129DOI: (10.1016/j.jtcvs.2011.07.060) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions