Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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The Clinical Analysis of 100 cases of Coronary artery Bypass Grafting with the Right Gastroepiploic artery

우위대망동맥을 이용한 관상동맥 우회술 100례의 임상적 고찰

  • Song, Hyun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University) ;
  • Lim, Han-Jung (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University) ;
  • Lee, Hyun-Woo (Department of Thoracic and Cardiovascular Surgery, Gacheon University) ;
  • Jung, Jong-Pil (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Shin, Je-Kyoun (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Jong-Ook (Department of Thoracic and Cardiovascular Surgery, Ulsan University Kangnung Medical Center) ;
  • Park, Jong-Bin (Department of Thoracic and Cardiovascular Surgery, Ulsan University Kangnung Medical Center) ;
  • Lee, Jae-Won (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University) ;
  • Song, Meong-Gun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University)
  • 송현 (울산의대 서울중앙병원 흉부외과) ;
  • 임한중 (울산의대 서울중앙병원 흉부외과) ;
  • 이현우 (가천의과대학 흉부외과) ;
  • 정종필 (울산대학교 병원, 흉부외과) ;
  • 신제균 (울산대학교 병원, 흉부외과) ;
  • 김종욱 (울산대학교 강릉병원, 흉부외과) ;
  • 박종빈 (울산대학교 강릉병원, 흉부외과) ;
  • 이재원 (울산의대 서울중앙병원 흉부외과) ;
  • 송명근 (울산의대 서울중앙병원 흉부외과)
  • Published : 2000.08.01
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Abstract

Background: In an effort t enhance long term patency of coronary bypass grafts, utilization of arterial conduits have been on an icrease. With the same objective, we have been using the right gastroepiploic artery(RGEA)in coronary artery bypass procedures since 1998. The current paper has been undertaken with the aim of assessing the apropriateness, problems, and short term results of using the RGEA as an arterial graft conduit by studying the postoperative clinical results of 100 patients than received coronary artery bypass grafting (CARG) with this artery. Material and Method: Between May of 1998 and May of 1999, an analysis of the mortality, postoperative myocardial infarction, and the need for IABP insertion as a result of low cardiac output were made between 100 consecutive patients undergoing CABG with the RGEA. Result: There was one postoperative death due to cerebral infarction. Postoperative complications/morbidity comprised myocardial infarction in 2, cerebral infarct in 3, reoperation due to bleeding in 1, mediastinitis in 1, and low cardiac output syndrome necessitating IABP in 3 patients. Complicatons related to harvesting of the arterial grafts were not experienced in any of the patients. Conclusion: The results of the current data show that utilization of the RGEA in CABG is not associated with increased mortality/morbidity and demonstrates satisfactory short term results suggesting the usefulnessof this conduit as an arterial graft.

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References

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