Kamata S, Kasegawa H, Shimokawa T, Kasahara K, Matsushita Y, Abe Y, Kitanaka Y, Ishii Y, Suzuki Y, Ida T, Kawase M
Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Kyobu Geka. 1998 Mar;51(5):393-7.
We experienced 8 cases in which Coronary Artery Bypass Grafting (CABG) was performed by the arterial graft alone with radial artery (RA) and inferior epigastric artery (IEA) used in addition to internal thoracic artery (ITA) and right gastroepiploic artery (RGEA). All the patients were male ranging in age from 50 to 66 years (mean 57.5 year). The number of anastomosis was 3 to 5 branches (mean 3.6 branches). IEA was anastomosed with LITA and used as a composite graft in all cases. As for the proximal anastomosis of RA it was anastomosesd with ascending aorta. On postoperative radiography of graft, LITA, RITA, IEA and RA were all patent and RGEA was occluded only in one anastomosis where it was sequentially used (96.6%). All the patients followed a satisfactory postoperative course, and no case developed any major complications.
The use of IEA and RA made it possible to perform CABG using only the artery with excellent postoperative results and early patency rate of the graft.
