t i a r o b n a a n t r s c g d eft internal mammary artery to left anterior descending oronary artery bypass grafting integrated with percutaeous coronary angioplasty (hybrid procedure) offers ultivessel revascularization with minimal morbidity in igh-risk patients. This is caused in part by the avoidnce of cardiopulmonary bypass–related morbidity and anipulation of the aorta coupled with mini...

Chapter 4 50 The present study aimed to examine the effects of long-term treatment with the angiotensin-converting-enzyme-inhibitor quinapril on markers of inflammation in patients requiring coronary artery bypass grafting. We performed a subgroup analysis of a prospective, placebo-controlled , randomized, multi-center study evaluating quinapril 40 mg. once daily in patients scheduled to underg...

BACKGROUND Neurologic injury is a rare yet devastating outcome of coronary artery bypass grafting surgery. Mechanisms producing both focal and global neurologic injuries include embolization, cerebral hypoperfusion, and hypotension. In this present study, we report an association between variations in the treatment of the internal mammary artery with the detection of cerebral embolic signals. ...

BACKGROUND Left main trunk stenosis (> or = 50%) has traditionally been treated with coronary artery bypass grafting. Improvements in coronary stents have led some to advocate percutaneous coronary intervention. To provide a benchmark of outcomes against which percutaneous coronary intervention may be compared, we (1) assessed survival and freedom from coronary reintervention after coronary art...

Penetrating trauma to the chest leading to coronary artery injury is associated with a high mortality rate, especially in the case of injury to the left anterior descending (LAD) coronary artery. The mortality rate remains high whether they are managed with primary ligation or with coronary artery bypass grafting using conventional cardiopulmonary bypass techniques. We report a case of proximal...

Coronary artery bypass grafting has not been previously reported in the Nigeria medical literature. We report the case performed in our institution of a 56 year old Nigerian female who underwent off pump coronary artery bypass surgery (OPCAB) for an ostial lesion of the left anterior descending coronary artery. The left internal mammary artery was successfully anastomosed to the left anterior d...

Stenosis of the subclavian artery, before the left internal mammary artery branch, is an important problem for patients who have undergone coronary artery bypass grafting, with an incidence rate of 0.5-1.1%. In this paper, a case of left subclavian artery stenosis, which developed after coronary artery bypass surgery and led to recurrent anginal attacks in the patient, is presented.