Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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우위대마동맥을 이용한 관상동맥우회수술;임상적 및 혈관촬영에 의한 단기결과

  • 이현성 (연세대학교 의과대학 심장혈관센터 심장혈관외과 심혈관연구소) ;
  • 장병철 (연세대학교 의과대학 심장혈관센터 심장혈관외과 심혈관연구소) ;
  • 이성수 (연세대학교 의과대학 심장혈관센터 심장혈관외과 흉부외과) ;
  • 김재영 (연세대학교 의과대학 심장혈관센터 심장혈관외과 심혈관연구소) ;
  • 맹대현 (연세대학교 의과대학 심장혈관센터 심장혈관외과 심혈관연구) ;
  • 박형동 (킬리만자로 크리스챤 메디칼 센터) ;
  • 윤영남 (연세대학교 의과대학 심장혈관센터 심장혈관외과 심혈관연구) ;
  • 장양수 (연세대학교 의과대학 심장혈관센터 심장내과)
  • Published : 2000.02.01
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Abstract

background: The right gastroepiploic artery(RGEA) has been use in coronary artery bypass grafting from 1987. The RGEA is the most useful arterial conduit in coronary artery bypass grafting(CABG) followed by the internal mammary artery, Materials and method: From Septermber 1998 to February 1999 the RGEA was used for coronary artery bypass grafting in 11 patients 10 males and 1 female. Postoperative angiography was performed in all of the patients before discharge Result: Early patent rate of the RGEA was 100%. The flow competition of the REGA graft was seen in 4 patients(36.4%) The flow pattern war RGEA dependent type in the inner diameter of the recipient coronary artery 1.5 mm the inner diameter of the RGEA 2.5 mm and the rtio of inner diameter of the RGEA and the recipient coronary artery 1(p<0.05) Conclusion : Early results of CABG with RGEA was satisfactory. However the RGEA graft has a tendency of flow competition in relation to the inner diameter of graft. Preoperative angiographic evaluation for RGEA and meticulous operative technique are required for a good surgical results.

Keywords

References

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