EXPERIMENTAL STUDIES ON THE LONG TERM FATE OF THE VEIN AND ARTERY GRAFTS AND ITS CHOICE IN AORTOCORONARY BYPASS SURGERY
スポンサーリンク
概要
- 論文の詳細を見る
Experimental studies of aorto-coronary bypass were performed using the technique of distal coronary artery perfusion in 47 dogs to ellucidate the flow characteristics at various grafts and long term fate of grafts up to 440 days after operation. On short term resutls, early graft occlusion seems to occur within 2 weeks with 6.5 days of mean in Group I and II (free grafts) when inflammatory reaction is most prominent. After 2 weeks patency rate was 65% in Group I and II, more than 80% of patency rate were obtained in Group III. In Group IV (prosthetic grafts), all but few (3 cases) could survive for more than 24 hours. In flow characteristic, artery and vein graft of which diameter is larger than that of the coronary artery can maintain enough the basal flow after ligation of the proximal coronary artery. In Group III (IMA-Circumflex anastomosis group), the internal mammary artery must be large enough to carry the blood to coronary artery lest the graft flow becomes below the basal flow. In Group IV, grafts can carry full flow but long term studies were not done because of early graft occlusion. There are much differences between free artery and vein grafts. In artery graft except IMA proper arterial structure is being kept until 440 days but has arteriosclerotic wall changes similar to human being. On the contrary, almost all free vein grafts have subintimal hyperplasia with collagen deposit and fibrous tissue and still progress after one year. These findings demonstrate that ischemia and hydraulic effect in the graft must be important factor for the irreversible graft wall changes.
- 社団法人日本循環器学会の論文
著者
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Nakamura Takeshi
Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine
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Teramoto Shigeru
The Second Department Of Surgery Okayama University Medical School
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Hamaguchi Kiyoshi
Department Of Surgery Okayama University School Of Medicine
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Ono Koshiro
Department Of Surgery Okayama University Medical School
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TERAMOTO SHIGERU
Department of Surgery,Okayama University medical School
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Tago Mamoru
Departments of Emergency and Surgery, Okayama University School of Medicine, Kagawa Chuo and Okayama
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Tago Mamoru
Departments Of Emergency And Surgery Okayama University School Of Medicine Kagawa Chuo And Okayama N
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Tago Mamoru
Department Of Cardiovascular Surgery Kagawa Prefectural Central Hospital
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Meguro Fumio
Department Of Surgery Okayama University Medical School
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Uchida Hatsuzo
Department Of Surgery Okayama University Medical Schoo L
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Uchida Hatsuzo
Department Of Anesthesiology Okayama University Medical School
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Sunada Terutake
2nd Surg. Dept. Ohayama Univ. School Of Med.
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Sunada Terutake
The Second Department Of Surgery Okayama University
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Sunada Terutake
Department Of Surgery Okayama University Medical School
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Sunada Terutake
Department Ofsurgery Okayama University Medical School
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SUNADA TERUTAKE
School of Medicine and School of Engineering, Okayama University
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Teramoto Shigeru
The 2nd Departrnent Of Surgery School Of Medicine Okayama University
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Teramoto Shigeru
Dept. Of Surg. Okayama Univ. Med. School
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Teramoto Shigeru
Department Of Surgery Okayama University Medical School
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Teramoto Shigeru
Emergency Department Okayama University School Of Medicine
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OHISHI KENZO
Department of Surgery, Okayama University Medical School
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ISODA YOSHIHIRO
Department of Surgery, Okayama University Medical School
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Nakamura Takeshi
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Tago Mamoru
Department Of Surgery Okayama University Medical School
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Sunada Terutake
School Of Medicine And School Of Engineering Okayama University
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Teramoto Shigeru
Departments Of Emergency Medicine And Surgery Okayama University Okayama National Hospital And Kagaw
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Teramoto Shigeru
School Of Medicine And School Of Engineering Okayama University
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Ohishi Kenzo
Dept. Ii. Of Surgery. Okayama Univ.
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Hamaguchi Kiyoshi
Department Of Surgery Okayama University Medical School
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Isoda Yoshihiro
Department Of Surgery Okayama University Medical School
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Nakamura Takeshi
Department Of Surgery Okayama University Medical School
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Nakamura Takeshi
Department Of Agricultural Chemistry Faculty Of Agriculture Kyoto University
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