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Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery With Left Internal Thoracic Artery With or Without Endarterectomy 

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Presentation on theme: "Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery With Left Internal Thoracic Artery With or Without Endarterectomy "— Presentation transcript:

1 Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery With Left Internal Thoracic Artery With or Without Endarterectomy  Toshihiro Fukui, MD, Shuichiro Takanashi, MD, Yasuyuki Hosoda, MD  The Annals of Thoracic Surgery  Volume 80, Issue 6, Pages (December 2005) DOI: /j.athoracsur Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Coronary artery angiography of a patient who had coronary artery reconstruction without endarterectomy. (A) Preoperative angiogram showing diffuse diseased left anterior descending (LAD) coronary artery. The LAD has multiple segmental lesions but the diameter of the nondiseased region is larger than 1 mm. (B) Nineteen months after the operation. Reconstructed LAD diameter changed to normal size. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Coronary artery angiography of a patient who had coronary artery reconstruction with endarterectomy. (A) Preoperative angiogram showing diffuse diseased left anterior descending (LAD) coronary artery. Diffusely diseased continuous lesion was observed in the LAD with about 1 mm diameter. (B) Twenty-four months after the operation. Reconstructed LAD diameter changed to normal size. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Actuarial survival rates including all deaths (— = LS-CABG without endarterectomy; = LS-CABG with endarterectomy). There was no significant difference between the two groups (p = 0.11). (LS-CABG = longer segmental coronary artery bypass grafting.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Deaths and cardiac event free rates (— = LS-CABG without endarterectomy; = LS-CABG with endarterectomy). There was no significant difference between the two groups (p = 0.13). (LS-CABG = longer segmental coronary artery bypass grafting.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

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