Sequential coronary artery bypass using gastroepiploic artery
Koyanagi, T.; Endo, M.; Shiikawa, A.; Nishida, H.; Nakano, S.; Koyanagi, H.
Kyobu Geka. Japanese Journal of Thoracic Surgery 45(8 Suppl): 720-724
1992
ISSN/ISBN: 0021-5252 PMID: 1405152 Document Number: 389324
We carried out sequential coronary bypass grafting using the gastroepiploic artery (GEA) as an in situ graft in seven patients. Four patients had sequential graft from the right coronary to the circumflex. Three patients were anastomosed to two or three peripheral branches of the right coronary artery. There were no early deaths. Postoperative angiograms revealed that the patency rate was 92.3% (12/13 anastomoses). Sequential GEA grafting is available to anastomose the peripheral branches of the right coronary and the circumflex where the in situ internal thoracic artery is difficult to access. Therefore, this procedure will be indicated for multiple coronary artery bypass grafting.