Results of myocardial revascularization by two internal thoracic arteries using a Y-shaped conduit.
METHODS
Between August 2002 and September 2004, 276 patients with coronary artery disease underwent surgical treatment using a Y-shaped conduit formed from two internal thoracic arteries (ITA). In 268 (97.1%) patients, myocardial revascularization required exclusively bi-mammary bypass grafting. In creation of the Y-shaped conduit in the capacity of a free transplant, the intercepted right ITA was connected to the left internal thoracic artery (LITA). In the remaining 7 (2.5%) patients, venous bypasses together with the internal thoracic arteries were employed: in one patient (0.36%), the radial artery was used.


RESULTS
Three patients (1.08%) died after operation. The survival rate accounted for 98.4%.


CONCLUSIONS
The use of two internal thoracic arteries for complete myocardial revascularization provided beneficial results in the short- and long-term postoperative periods.
Grigorian
G
G
Department of Heart Surgery, Northern Cardiology Center, Saint-Denis, France.
Rafful
R
R
Nappi
F
F
Andreasian
B
B
Lessana
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome