Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Total revascularization with T grafts

A J Tector1, S Amundsen, T M Schmahl

  • 1Midwest Heart Surgery Institute, Milwaukee, Wisconsin.

The Annals of Thoracic Surgery
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Perforated Gallbladder into the Abdominal Wall.

Case reports in surgery·2022
Same author

Seagrass habitat in Tarawa Lagoon, Kiribati: Service benefits and links to national priority issues.

Marine pollution bulletin·2020
Same author

Mushroom productivity trends in relation to tree growth and climate across different European forest biomes.

The Science of the total environment·2019
Same author

Subjective emotional responses to IAPS pictures in patients with borderline personality disorder, cluster-C personality disorders, and non-patients.

Psychiatry research·2019
Same author

An Irish National Diabetes in Pregnancy Audit: aiming for best outcomes for women with diabetes.

Diabetic medicine : a journal of the British Diabetic Association·2019
Same author

Catalytic abatement of CO species from incomplete combustion of solid fuels used in domestic cooking.

Heliyon·2018
Same journal

Late outcomes of postoperative complete heart block after congenital heart surgery: recovery or re-heart block?

The Annals of thoracic surgery·2026
Same journal

Coronary artery bypass grafting based on computed tomography-derived fractional flow reserve versus angiography: Early results.

The Annals of thoracic surgery·2026
Same journal

Beyond R0: Margin Cytology and Local Control After Sublobar Resection.

The Annals of thoracic surgery·2026
Same journal

Deferred AVR During CABG in Moderate Aortic Stenosis: Lower Index Risk or Deferred Cumulative Risk?

The Annals of thoracic surgery·2026
Same journal

The Renaissance of Transapical TAVR: From Competing Access Route to Enabling Platform for Hybrid Heart Therapy.

The Annals of thoracic surgery·2026
Same journal

A Moving Target: Interpreting Post-TAVI Reintervention in a Rapidly Evolving Era.

The Annals of thoracic surgery·2026
See all related articles

The T graft technique enhances coronary artery bypass grafting by utilizing both internal thoracic arteries. This method shows high graft patency, potentially improving long-term survival and reducing reoperation needs.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Anastomosis

Background:

  • Coronary artery bypass grafting (CABG) is a standard treatment for coronary artery disease.
  • Internal thoracic artery (ITA) grafts are associated with superior long-term patency compared to saphenous vein grafts.
  • Limitations in ITA length can restrict its use, particularly in complex coronary anatomy or reoperations.

Purpose of the Study:

  • To describe the T graft technique, a novel method for utilizing both right and left internal thoracic arteries (RITA and LITA) in CABG.
  • To evaluate the technical feasibility, safety, and early outcomes of the T graft procedure.
  • To assess the impact of the T graft on graft patency and patient survival.

Main Methods:

  • The T graft involves anastomosing the proximal end of a free RITA to the side of an attached LITA.

Related Experiment Videos

  • This technique was applied in 287 patients undergoing CABG, with an average of 4.4 anastomoses per patient.
  • Patient demographics included age range 34-86 years, with specific consideration for patients with left main disease and those undergoing reoperation.

    • Main Results:

    • Operative mortality was 1.7% in the study cohort.
    • Postoperative graft visualization revealed 94.7% of all ITA grafts were patent.
    • Specifically, 100% of LITA grafts and 91% of RITA grafts utilized in the T configuration were unobstructed.

    Conclusions:

    • The T graft technique effectively extends the reach of the RITA, enabling bypass of the left anterior descending coronary artery and its branches with the LITA.
    • The procedure demonstrates excellent early graft patency rates, suggesting potential for improved long-term event-free survival.
    • While requiring technical expertise, the T graft offers a valuable option to reduce reoperation rates in select CABG patients.