title: The sequential internal mammary artery graft. Long term results of a consecutive series of 364 patients.
abstract: Sequential, bilateral and free mammary grafts are employed in the current operative treatment of coronary pathology to maximize the benefit of the enhanced long-term patency of the internal mammary graft. This study reports the early and late results of a consecutive series of 364 patients in whom an internal mammary artery jumpgraft was performed. The total perioperative mortality was 1.6%, the cardiac perioperative mortality 1.0%. The perioperative infarct rate was 2.5%; the infarct rate in the mammary outflow field 1.4%. The total survival at 90 months (operative mortality included) was 92.2%, the cardiac survival at 90 months was 95.8% and the event-free group of the operative survivors was 85.2% at 90 months. The mammary artery jumpgraft can be performed without additional risk to the patient, it has a very good late result and it should be standard tool in the current coronary surgery technique. It is essential in coronary redo surgery and in patients after bilateral saphenectomy.
authors.affiliation: Cardiovascular Surgery Department, Gasthuisberg University Hospital, Leuven, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Sergeant
authors.forename: W
authors.initials: W
authors.lastname: Flameng
authors.forename: R
authors.initials: R
authors.lastname: Suy
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012307:Risk Factors; D013997:Time Factors; D014654:Vascular Patency