Preoperative evaluation of the right gastroepiploic artery was performed by abdominal ultrasonography to determine whether the graft was adequate for coronary artery bypass. The gastroepiploic artery was used when the graft diameter was greater than 2 mm with pulsatile flow. Postoperative angiography revealed the gastroepiploic artery dominant, and the graft diameter measured by angiography was almost the same size as that of abdominal ultrasonography. The right gastroepiploic artery (GEA) has been an important arterial graft in coronary revascularization, and the opportunities to use this artery as the in situ or free graft have been increasing lately. However we sometimes experience cases in which the GEA is not suitable for the graft because the diameter is not large enough to anastomose or the blood flow is poor. The aim of this study was to evaluate the graftability of the GEA using abdominal ultrasonography preoperatively.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.athoracsur.2005.09.018 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Aneurysmal rupture in microscopic polyangiitis: a case-based review.
Clin Rheumatol
January 2025
Department of Medical Laboratory Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan.
Microscopic polyangiitis (MPA) affects small and medium vessel, which sometimes leads to arterial aneurysms. In English database, only 15 reports refer to ruptured aneurysms in MPA. We experienced a fatal case with MPA who developed multiple visceral aneurysms, resulting in rupture of the hepatic aneurysm.
View Article and Find Full Text PDFArterial Reconstruction Using the Right Gastroepiploic Artery in Living Donor Liver Transplantation: A Single-Center Experience.
Ann Transplant
January 2025
Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
BACKGROUND Recipient hepatic arteries are generally used for arterial reconstructions in living donor liver transplantation. When the hepatic arteries are not feasible, the right gastroepiploic artery is one of the options for arterial reconstructions. In this study, we evaluate the feasibility of using the right gastroepiploic artery and report the analyzed retrospective patient outcomes.
View Article and Find Full Text PDFSimultaneous gastroepiploic artery to right coronary artery bypass and trans-catheter aortic valve implantation: case series.
Gen Thorac Cardiovasc Surg Cases
January 2025
Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama City, Wakayama, 641-8509, Japan.
Patients with coronary artery disease undergoing trans-catheter aortic valve implantation (TAVI) often receive TAVI alone. However, in cases of severe coronary lesions or anticipated difficulty in coronary access post-TAVI, percutaneous coronary intervention or coronary artery bypass grafting may be necessary. We performed simultaneous gastroepiploic artery to posterior descending artery bypass and TAVI in two patients with severe calcification of the right coronary artery ostium which is unsuitable for percutaneous intervention.
View Article and Find Full Text PDFGastric Stenosis Four Years After Adjustable Gastric Band Removal Surgery-A Video Case Report.
Obes Surg
December 2024
Division of Gastroenterology, Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.
Laparoscopic adjustable gastric banding (LAGB) is a type of bariatric surgery. Gastric stenosis or obstruction is a known complication of LAGB; however, its occurrence after band removal is extremely rare. A 60-year-old female, who had undergone LAGB 6 years earlier and band removal 4 years prior, presented to the hospital with recurrent vomiting.
View Article and Find Full Text PDFMinimally invasive coronary artery bypass grafting using the skeletonized right gastroepiploic artery.
JTCVS Tech
December 2024
Department of Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan.
Article Synopsis
- The study evaluated the clinical outcomes of using the right gastroepiploic artery in minimally invasive coronary artery bypass grafting procedures.
- A total of 428 patients were analyzed, with the right gastroepiploic artery used in 18.2% of cases, leading to a high rate of successful revascularization (93.6% total, 98.7% complete).
- Postoperative results revealed no in-hospital deaths, a low incidence of new atrial fibrillation (9%), and a manageable median ICU stay of 2 days, indicating favorable outcomes with this surgical approach.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!