老年心脏病学杂志（英文版）2012，Vol.9Issue(3)：247-251,5.
Off-pump coronary artery bypass grafting using a bilateral internal mammary artery Y graft
Off-pump coronary artery bypass grafting using a bilateral internal mammary artery Y graft
Cheng-Xiong Gu 1Jun-Feng Yang 1Hong-Chao Zhang 2Hua Wei 1Ling-Ke Li2
作者信息
- 1. Department of Cardiac Surgery, Capital Medical University, Beijing Anzhen Hospital, Beijing 100029, China
- 2. Department of Cardiacvascular Surgery, Airfore General Hospital, Beijing 100142, China
- 折叠
摘要
Abstract
Objective To evaluate the outcome of off-pump coronary artery bypass grafting (OPCABG) using a bilateral internal mammary artery (BIMA) Y configuration graft to achieve total arterial myocardial revascularization. Methods From October 2002 to December 2008, 208 patients (196 males and 12 females) underwent OPCABG using a BIMA Y configuration graft. The average age of the patients was 56.5 33 (15.9%) cases, and double-vessel disease was found in 8 (3.9%) cases. The semi-skeletonization technique was used to harvest the two internal mammary arteries (IMAs), and then the free right internal mammary artery was connected end-to-side to the left internal mammary artery (LIMA) in situ to complete the Y configuration graft. Off-pump and sequential anastomosis methods were used to perform coronary artery bypass surgery in all patients. Graft patency was assessed intra-operatively with the HT311 transit time flowmeter. Results A total of 728 distal anastomoses were performed in 208 patients, with the average being 3.5 ± 1.3 per person. No one died or experienced recurrent angina within 30 days after the operation. Conclusions OPCABG using the BIMA Y graft was safe and effective to achieve total arterial revascularization. This method avoids surgical operation on the ascending aorta and other incisions. 关键词
Bilateral internal mammary arteries/Coronary artery bypass grafting/Internal mammary artery/Off-pumpKey words
Bilateral internal mammary arteries/Coronary artery bypass grafting/Internal mammary artery/Off-pump引用本文复制引用
Cheng-Xiong Gu,Jun-Feng Yang,Hong-Chao Zhang,Hua Wei,Ling-Ke Li..Off-pump coronary artery bypass grafting using a bilateral internal mammary artery Y graft[J].老年心脏病学杂志（英文版）,2012,9(3):247-251,5.
