Doppler Features of Occlusion of the Internal Thoracic Artery due to Preoperative Branch Embolization
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概要
- 論文の詳細を見る
A 61-year-old male was referred to the surgical ward by cardiologists because of a diagnosis of unstable angina with 3-vessel disease. On preoperative left internal thoracic arteriography, a large first intercostal branch was found at the proximal portion. Selective arterial embolization of the branch of the left internal thoracic artery(LITA)was carried out preoperatively. At 2 days after embolization, the Doppler peak flow velocity and diameter of the LITA were increased and enlarged compared with before the procedure. However, a large reverse wave following after the first systolic peak flow of the LITA was newly detected after embolization. Upon operation, the LITA was found to be occluded at the 2nd intercostal space due to thrombus formation. Therefore, the right internal thoracic artery was anastomosed to the left anterior descending artery and coronary reversed saphenous vein grafts were joined to segment 4PD of the right coronary artery. The postoperative course was uneventful. There has been no previous report of an LITA branch being embolized preoperatively. It was possible to diagnose the graft problem by detecting the altered Doppler wave form of the LITA.
- 社団法人日本循環器学会の論文
- 1999-09-20
著者
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Niino Tetsuya
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Kimura Shunichi
The 2nd Department Of Surgery Nihon University School Of Medicine
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NEGISHI Nanao
Department of Cardiovascular Surgery, Nihon University School of Medicine
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Negishi N
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Negishi Nanao
日本大学 医学部心臓血管外科学分野
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YAMAMOTO Tomonori
Second Department of Surgery, Nihon University School of Medicine
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YAGI Shinya
Second Department of Surgery, Nihon University School of Medicine
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Orime Yukihiko
The Second Department of Surgery, Nihon University School of Medicine
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Shiono Motomi
The Second Department of Surgery, Nihon University School of Medicine
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Yagi Shinya
The Second Department of Surgery, Nihon University School of Medicine
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Okumura Haruhiko
The Second Department of Surgery, Nihon University School of Medicine
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Hata Mitsumasa
The Second Department of Surgery, Nihon University School of Medicine
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Sezai Yukiyasu
The Second Department of Surgery, Nihon University School of Medicine
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Yamamoto Tomonori
The Second Department of Surgery, Nihon University, School of Medicine
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Kimura Shunichi
The Second Department of Surgery, Nihon University, School of Medicine
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Kashiwazaki Satoshi
The Second Department of Surgery, Nihon University, School of Medicine
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Choh Shinsuke
The Second Department of Surgery, Nihon University, School of Medicine
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Niino Tetsuya
The Second Department of Surgery, Nihon University, School of Medicine
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Kohno Hideo
The Second Department of Surgery, Nihon University, School of Medicine
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Negishi Nanao
The Second Department of Surgery, Nihon University, School of Medicine
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Hata Mitsumasa
The Department Of Cardiac Surgery Austin & Repatriation Medical Centre University Of Melbourne
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Yagi Shinya
The 2nd Department Of Surgery Nihon University School Of Medicine
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Orime Yukihiko
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Kohno Hideo
The Second Department Of Surgery Nihon University School Of Medicine
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Choh Shinsuke
Second Department Of Surgery Nihon University School Of Medicine
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Sezai Yukiyasu
The Chairman Of The Board Japanese Association For Coronary Artery Surgery The Former President Of N
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Sezai Yukiyasu
The 2nd. Department Of Surgery Nihon University
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Negishi Nanao
Division Of Cardiovascular Surgery Department Of Surgery Nihon University School Of Medicine
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Yamamoto Tomonori
Second Department Of Surgery Nihon University School Of Medicine
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Okumura Haruhiko
Second Department Of Surgery Nihon University School Of Medicine
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Kashiwazaki Satoshi
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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