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Internal thoracic artery grafts for the entire heart at a mean of 12 years  Lester R Sauvage, MD, Joshua G Rosenfeld, Paul V Roby, MD, David M Gartman,

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Presentation on theme: "Internal thoracic artery grafts for the entire heart at a mean of 12 years  Lester R Sauvage, MD, Joshua G Rosenfeld, Paul V Roby, MD, David M Gartman,"— Presentation transcript:

1 Internal thoracic artery grafts for the entire heart at a mean of 12 years 
Lester R Sauvage, MD, Joshua G Rosenfeld, Paul V Roby, MD, David M Gartman, MD, William P Hammond, MD, Lloyd D Fisher, PhD  The Annals of Thoracic Surgery  Volume 75, Issue 2, Pages (February 2003) DOI: /S (02)

2 Fig 1 Strategies for complete three-vessel coronary artery bypass grafting using only internal thoracic artery (ITA) grafts, depending on graft length and coronary target sites. Shown are operative sketches and composite films from 3 patients, one for each strategy, during the follow-up period. Angios in A were performed after an episode of congestive failure, in B after a near-fainting episode, and in C for evaluation of a positive treadmill response (no angina). Arrows identify anastomoses. Number of patients receiving each strategy, average aggregate flow rates, and postoperative intervals are given. (A) Angiograms performed 6 years after Strategy I procedure in male patient, age 42 at time of surgery. In most Strategy I cases, the LITA was anastomosed first to the circumflex and then to the LAD. (B) Angiograms performed 12 years after Strategy II procedure in male patient, age 63 at the time of surgery. (C) Angiograms performed at 11 years after Strategy III procedure in male patient, age 67 at time of surgery. RITA was used as a free graft in constructing LITA-RITA bifurcation graft. (CABG = coronary artery bypass graft; LAD = left anterior descending; LITA = left ITA; RITA = right ITA.) The Annals of Thoracic Surgery  , DOI: ( /S (02) )

3 Fig 2 This Kaplan-Meier survival curve shows the proportion of patients surviving after complete three-vessel coronary bypass using only internal thoracic artery grafts. Steps in the curve represent individual fatalities with censoring at that point. Tick marks indicate survival periods of individual patients living at last follow-up, with average follow-up of 12.1 years (range, 10.7 to 13.6 years). The Annals of Thoracic Surgery  , DOI: ( /S (02) )

4 Fig 3 This Kaplan-Meier curve shows the proportion of patients developing a myocardial infarction (MI) after complete three-vessel coronary bypass using only internal thoracic artery grafts. The four steps in the curve represent the occurrence of four MIs at those times: one at 6.5 years (patient living 6 years later at time of last follow-up), one at 7.5 years (patient died 15 months later of sudden cardiac death), one at 9.7 years (patient died 6 days later of pneumonia and congestive failure), and one at 10.5 years (patient living 3 months later at time of last follow-up). Tick marks represent the 121 censored non-MI patients comprising 57 patients dying without an MI during the observation period and 64 patients living at last follow-up. The heavy concentration of tick marks after 10 years of MI-free survival are mainly patients living at last follow-up. The Annals of Thoracic Surgery  , DOI: ( /S (02) )


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