%0 Journal Article
%T Off-pump coronary artery bypass grafting using a bilateral internal mammary artery Y graft
%A Cheng-Xiong Gu
%A Jun-Feng Yang
%A Hong-Chao Zhang
%A Hua Wei
%J 老年心脏病学杂志(英文版)
%D 2012
%I Science Press
%X ObjectiveTo evaluate the outcome of off-pump coronary artery bypass grafting (OPCABG) using a bilateral internal mammary artery (BIMA) Y configuration graft to achieve total arterial myocardial revascularization. Methods From October 2002 to December 2008, 208 patients (196 males and 12 females) underwent OPCABG using a BIMA Y configuration graft. The average age of the patients was 56.5 ± 11.3 years, with an age range of 33–78 years. A total of 167 (80.2%) cases had triple-vessel disease. Left main stem disease was found in 33 (15.9%) cases, and double-vessel disease was found in 8 (3.9%) cases. The semi-skeletonization technique was used to harvest the two internal mammary arteries (IMAs), and then the free right internal mammary artery was connected end-to-side to the left internal mammary artery (LIMA) in situ to complete the Y configuration graft. Off-pump and sequential anastomosis methods were used to perform coronary artery bypass surgery in all patients. Graft patency was assessed intra-operatively with the HT311 transit time flowmeter. Results A total of 728 distal anastomoses were performed in 208 patients, with the average being 3.5 ± 1.3 per person. No one died or experienced recurrent angina within 30 days after the operation. Conclusions OPCABG using the BIMA Y graft was safe and effective to achieve total arterial revascularization. This method avoids surgical operation on the ascending aorta and other incisions.
%K Bilateral internal mammary arteries
%K Coronary artery bypass grafting
%K Internal mammary artery
%K Off-pump
%U http://www.jgc301.com/ch/reader/download_pdf.aspx?file_no=20111225001&year_id=2012&quarter_id=3&flag=1