BACKGROUND We sought to determine whether location of the second internal thoracic artery (ITA) graft used for bilateral ITA grafting affects mortality and morbidity of patients with 3-system coronary artery disease and to identify factors associated with second ITA location. METHODS AND RESULTS From January 1972 to June 2006, 3611 patients with 3-system coronary artery disease underwent bila...

BACKGROUND The radial artery is often used as the second arterial graft for coronary artery bypass grafting. Little is known about the differences in long-term patency between radial free and T grafts. This study was performed to determine long-term radial artery patency over a 15-year period. METHODS AND RESULTS Radial arteries were used as free grafts or T grafts for coronary artery bypass ...

One of the primary forms of congenital anomalies of the coronary arteries is coronary artery fistula (CAF). It is defined as a direct communication between the coronary artery and any surrounding cardiac chamber or vascular structure, which bypasses the myocardial capillary bed. We present a newborn baby with a large coronary artery fistula connecting the left anterior descending (LAD) artery t...

BACKGROUND In this study, we aimed to review the consequences of coronary endarterectomy with coronary artery bypass grafting, and assess outcomes of this combined surgical technique for patients with diffuse coronary artery disease in a single surgeon's practice. METHODS We retrospectively reviewed outcome of 1198 endarterectomized coronary artery in 1000 patients with diffuse coronary arter...

We describe the surgical management of three distinct coronary artery aneurysms in conjunction with coronary artery bypass grafting.

Introduction: Minimally invasive direct coronary artery bypass grafting (MIDCAB) offers arterial revascularization of the left anterior descending coronary artery especially in lesions unsuitable for percutaneous coronary interventions. By avoidance of sternotomy and cardiopulmonary bypass its invasivity is less than that of conventional bypass surgery. Methods: A literature search of all publi...

We describe a surgical case of coronary-coronary bypass grafting using the saphenous vein for revascularization of the right coronary artery during concomitant graft replacement of the ascending aorta. This technique of coronary revascularization can be used as an alternative to avert the need for a prosthetic graft to coronary artery bypass grafting in cases with potential problems of anastomo...

The left internal thoracic artery lpa r;LITA) is the preferred graft with the best patency rate in coronary artery bypass grafting (CABG). To maximize its use, we developed a technique of grafting 2 distant coronary arteries with the LITA, using its distal portion segmented to construct a Y graft with either the in situ LITA or right internal thoracic artery (RITA). We applied this technique in...