A new pattern for using both thoracic arteries to revascularize the entire heart: the pi-graft.
other · Level V
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- Record sourced from PubMed, PMID 12078819.
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Abstract
We present a complex graft for total arterial revascularization based on bilateral skeletonized internal thoracic arteries (ITA). The lower two-thirds of the free right ITA is anastomosed to the proximal segment of the left in situ ITA using the T-graft technique (Tector-Barner-Calafiore). The free, transected distal part of the left ITA is then anastomosed end-to-side on free right ITA (T-on-T anastomosis). In addition, the technique may use another graft extending the proximal third of the in situ right ITA with the free radial artery for right-sided revascularization. The entire operation can be performed off-pump to avoid any procedure on the ascending aorta.
Medical subject headings
- Coronary Disease
- Myocardial Revascularization
- Thoracic Arteries