Results of myocardial revascularization by two internal thoracic arteries using a Y-shaped conduit
G Grigorian1, R Rafful, F Nappi
1Department of Heart Surgery, Northern Cardiology Center, Saint-Denis, France.
Material And Methods:
Between August 2002 and September 2004, 276 patients with coronary artery disease underwent surgical treatment using a Y-shaped conduit formed from two internal thoracic arteries (ITA). In 268 (97.1%) patients, myocardial revascularization required exclusively bi-mammary bypass grafting. In creation of the Y-shaped conduit in the capacity of a free transplant, the intercepted right ITA was connected to the left internal thoracic artery (LITA). In the remaining 7 (2.5%) patients, venous bypasses together with the internal thoracic arteries were employed: in one patient (0.36%), the radial artery was used.
Results:
Three patients (1.08%) died after operation. The survival rate accounted for 98.4%.
Conclusion:
The use of two internal thoracic arteries for complete myocardial revascularization provided beneficial results in the short- and long-term postoperative periods.
