CORONARY ARTERY BYPASS GRAFTING BY UTILIZING THE INTERNAL MAMMARY ARTERY GRAFT IN 100 JAPANESE PATIENTS

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概要

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• The internal mammary artery (IMA) grafting for myocardial revascularization was performed in 100 Japanese patients during a three-year period. These were 86 males and 14 females with the mean age of 58 ± 9 (37〜 75 years-old). Unilateral IMA was used in 88 patients and bilateral IMA was used in 12 patients. Sequential IMA grafting was performed in 5 patients. The sites of IMA grafting were 91 left anterior descending arteries (LAD), 16 diagonal branches, 8 circumflex arteries and 2 right coronary arteries. Saphenous vein or gastroepiploic artery was concomitantly used to bypass the other coronary arteries in 90 patients. The number of distal anastomosis ranged from 1 to 6 and the mean was 2.8 per patient. Two patients died within 30 days and one patient died at 3 months after surgery. Perioperative myocardial infarction was noted in 3 patients. Symptomatic relief was obtained in 94 (97%) of 97 survivors. The patency of the IMA graft at mean 2.2 postoperative months was 97% (58/60) in LAD, 100% (14/14) in the diagonal branch, 100% (5/5) in the circumflex artery, 100% (1/1) in the right coronary artery, and 98% (78/80) in over-all grafted coronary arteries. Pre- and postoperative exercise thallium scintigraphy in 13 patients, who received the IMA graft to severely stenosed LAD, showed significant improvement of the washout ratio (from 33.1 16.9% to 47.4 14.8%) which was nearly equivalent to that of the saphenous vein graft to LAD (from 24.8 6.2% to 48.1 6.6%, n = 7). Considering these favorable results, we conclude that the IMA grafting can be performed safely and effectively in Japanese ischemic heart patients, and its aggressive utilization is warranted.

• 社団法人日本循環器学会の論文
• 1988-12-20

著者

• Suma Hisayoshi

  Department of Cardiovascular Surgery,Hayama Heart Center

• Suma Hisayoshi

  Department Of Thoracic Surgery Osaka Medical College

• Hirota Yuzo

  The Third Division Department Of Medicine Osaka Medical College.

• Hirota Yuzo

  Department Of Thoracic Surgery Osaka Medical College

• Fukumoto Hitoshi

  Department of Emergency Medicine, Osaka Mishima Emergency and Critical Care Center

• Kimura Hiroshi

  Departtnent of Chest Medicine, School of Medicine, Chiba University

• Matsumori Masayuki

  The 2nd Department Of Surgery Kobe University School Of Medicine

• Maeda Masamichi

  Department Of Thoracic Surgery Osaka Medical College

• Fukuzaki Hisashi

  The First Department Of Internal Medicine Kobe University School Of Medicine

• KUSUKAWA JUNYA

  The Third Division, Department of Internal Medicine, Osaka Medical College

• TAKEUCHI ATSURO

  Department of Thoracic Surgery, Osaka Medical College

• Suma Hisayoshi

  Department Of Thoracie Srugery Osaka Medical College

• Suma Hisayoshi

  Department Of Cardio-thoracic Surgery Juntendo University

• FUKUZAKI Hisashi

  三木市民院循環器内科

• Takeuchi Atsuro

  2nd Surg. Div. Osaka Med. School

• Fukuzaki Hisashi

  Department Of Thoracie Srugery Osaka Medical College

• Fukuzaki Hisashi

  Dept Of Intern Med. Div. I Kobe Univ. School Of Med.

• KONDO KEIICHIRO

  Department of Thoracie Srugery, Osaka Medical College

• SATO HARUMITSU

  Department of Thoracie Srugery, Osaka Medical College

• Kusukawa Junya

  The Third Division Department Of Internal Medicine Osaka Medical College

• Fukumoto Hitoshi

  Department Of Thoracic Surgery Osaka Medical College

• Takeuchi Atsuro

  Dept of Surg. Osaka Med College

• Takeuchi Atsuro

  Department Of Thoracic Surgery Osaka Medical College

• Takeuchi Atsuro

  Dept. Of Surgery Osaka Med. Coll.

• Sato Harumitsu

  Department Of Thoracic Surgery Osaka Medical College

• Sato Harumitsu

  Department Of Cardiovascular Surgery Ehime Prefectural Central Hospital

• Takeuchi Atsuro

  Osaka Medical College Hospital Department Of Thoracic Surgery

• Takeuchi Atsuro

  Department Of Thoracie Srugery Osaka Medical College

• Kondo Keiichiro

  Department Of Thoracic And Cardiovascular Surgery Osaka Medical College

• Kondo Keiichiro

  Department Of Thoracie Srugery Osaka Medical College

• Fukuzakl Hisashi

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Fukuzaki Hisashi

  Department Of Thoracic Surgery Osaka Medical College

• Takechi Atsuro

  Dept. Of Surgery Osaka Med. Sch.

• Fukumoto Hitoshi

  Department Of Emergency Medicine Osaka Mishima Emergency And Critical Care Center

• Takeuchi Atsuro

  2nd Div. Dept. Of Surg. Osaka Med. Coll.

• Takeuchi Atsuro

  Dept. Of Surg. Osaka Med. Coll.

• Kimura Hiroshi

  Department Of Virology Nagoya University Graduate School Of Medicine

• Kimura Hiroshi

  Department Of Anatomy Shiga University Of Medical Science

• Takeuchi Atsuro

  Department Of Thoraclc Surgery Osaka Medical College

• Kimura Hiroshi

  Department Of Thoracie Srugery Osaka Medical College

• Kimura Hiroshi

  Department Of Anatomy Ii Shiga University Of Medical Science

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