Chronic Pleural Effusion following Coronary Artery Revascularization with the Internal Mammary Artery

CHEST Journal ◽  
1990 ◽  
Vol 97 (3) ◽  
pp. 750-751 ◽  
Author(s):  
CPT Marin H. Kollef
Keyword(s):  
Coronary Artery ◽  
Pleural Effusion ◽  
Internal Mammary Artery ◽  
Coronary Artery Revascularization ◽  
Internal Mammary

Delayed Pleuropulmonary Complications following Coronary Artery Revascularization with the Internal Mammary Artery

CHEST Journal ◽  
1988 ◽  
Vol 94 (1) ◽  
pp. 68-71 ◽  
Author(s):  
Marin H. Kollef ◽  
Thomas Peller ◽  
Maj Arthur Knodel ◽  
Col W. Hal Cragun
Keyword(s):  
Coronary Artery ◽  
Internal Mammary Artery ◽  
Coronary Artery Revascularization ◽  
Internal Mammary

scholarly journals Does pleurotomy for internal mammary artery harvest increase postoperative complications? A comparative study of internal mammary artery harvest with and without pleurotomy

2021 ◽  
Vol 9 (2) ◽  
pp. 406
Author(s):  
Surya Satya Gopal Palanki ◽  
Madhusudan Kummari ◽  
Praveen Dontineni ◽  
Amaresh Rao Malempati ◽  
Kaladhar Bomma
Keyword(s):  
Coronary Artery ◽  
Pleural Effusion ◽  
Postoperative Complications ◽  
Wound Infection ◽  
Coronary Artery Bypass ◽  
Internal Mammary Artery ◽  
Statistical Significance ◽  
Artery Bypass ◽  
Infection Rates ◽  
Internal Mammary

Background: To assess and compare the postoperative complications in patients who are undergoing Left Internal Mammary artery harvesting for coronary artery bypass grafting surgery with pleurotomy and without pleurotomy.Methods: The study was conducted on the patients admitted in a single unit of department of cardiothoracic surgery,NIMS, Hyderabad during the period of July 2017 to December2017.The study was a randomized open labelled controlled trial of two interventions.A total of 90 patients undergoing Coronary artery bypass surgery were enrolled in the study,with 60 among them having their Internal mammary harvesting done with pleurotomy and 30 undergoing the same without pleurotomy.Results: In the non pleurotomy group, 16 (53.33%) were male and 14 (46.66%) were female.In the pleurotmy group males and females were 41 (68.33%) and 19 (31.66%) respectively.There was no statistical significance between both the groups with respect to posteroperative bleeding, icu stay, reexploration rate,duration of ventilation,PaO2 and PCo2 values or wound infection rates. The only difference between both the groups which showed statistical significance(0.051) was the occurence of pleural effusion on POD 5 .In the closed pleurotomy group only 2(6.66%) patients had pleural effusion upto POD5, whereas in the open pleurotomy group 14 (23.33%) patients had pleural effusion persisting till POD5.Conclusions: There is a higher incidence of Pleural effusion in the pleurotomy group although this did not translate into higher postop pain score,ICU/Hospital stay, wound infection rates. 

Combined internal mammary artery graft for coronary artery revascularization

1990 ◽  
Vol 50 (4) ◽  
pp. 553-556 ◽  
Author(s):  
C. Bakay ◽  
A. Akçevin ◽  
K. Süzer ◽  
T. Paker ◽  
H. Türkoǧlu ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Internal Mammary Artery ◽  
Coronary Artery Revascularization ◽  
Artery Graft ◽  
Internal Mammary Artery Graft ◽  
Internal Mammary

Mitral Valve Replacement via Anterolateral Right Thoracotomy without Cross-Clamping in a Patient with Fungal Infective Endocarditis and Functioning Internal Mammary Artery after Previous Coronary Artery Bypass Grafting and Mitral Valve Repair

2016 ◽  
Vol 19 (1) ◽  
pp. 033
Author(s):  
Takahiro Taguchi ◽  
Jeswant Dillon ◽  
Mohd Azhari Yakub
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Mitral Valve ◽  
Coronary Artery Bypass ◽  
Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Valve Repair ◽  
Artery Bypass Grafting ◽  
Internal Mammary

A 55-year-old man developed severe mitral regurgitation with persistent fungal infective endocarditis 8 months after coronary artery bypass grafting with a left internal mammary artery and 2 saphenous veins, as well as mitral valve repair with a prosthetic ring. Echocardiography demonstrated severe mitral regurgitation and a valvular vegetation. Computed tomography coronary arteriography indicated that all grafts were patent and located intimately close to the sternum. Median resternotomy was not attempted due to the risk of injury to the bypass grafts, and therefore, a right anterolateral thoracotomy approach was utilized. Mitral valve replacement was performed with the patient under deep hypothermia and ventricular fibrillation without aortic cross-clamping. The patient`s postoperative course was uneventful. Thus, right anterolateral thoracotomy may be a superior approach to mitral valve surgery in patients who have undergone prior coronary artery bypass grafting.

Survival benefit from a second arterial conduit to the circumflex circulation persists in elderly after coronary artery bypass surgery

2021 ◽  
pp. 021849232199707
Author(s):  
Suvitesh Luthra ◽  
Miguel M Leiva-Juárez ◽  
Pietro G Malvindi ◽  
John S Billing ◽  
Sunil K Ohri
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Survival Benefit ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Internal Mammary Artery ◽  
Artery Bypass ◽  
Arterial Graft ◽  
Arterial Conduit ◽  
Internal Mammary

Background This retrospective propensity matched study investigated the impact of age on the survival benefit from a second arterial conduit to the left-sided circulation. Methods Data for isolated coronary artery bypass surgery were collected from October 2004 to March 2014. All patients with an internal mammary artery graft to left anterior descending artery and additional arterial or venous graft to the circumflex circulation were included. Propensity matching was used to balance co-variates and generate odds of death for each observation. Odds ratios (venous vs. arterial) were charted against age. Results The in-hospital mortality rate was 1.12% (arterial) vs. 1.24% (venous) (p = 0.77). The overall 10-year survival was 74.6% (venous) vs. 82.6% (arterial) (p = 0.001). A total of 1226 patients were successfully matched to the venous or arterial (second conduit to circumflex territory after left internal mammary artery to left anterior descending artery) cohorts. Odds ratio for death (venous to arterial) showed a linear decremental overall survival benefit for the second arterial graft to circumflex circulation with increasing age. Conclusions The survival benefit of a second arterial graft persists through all age groups with a gradual decline with increasing age over the decades. Elderly patients should not be denied a second arterial graft to the circumflex circulation based on age criterion alone.

The use of free versus in situ right internal mammary artery in coronary artery bypass grafting

2021 ◽  
Author(s):  
Edgar Aranda‐Michel ◽  
Derek Serna‐Gallegos ◽  
Forozan Navid ◽  
Arman Kilic ◽  
Abraham A. Williams ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Internal Mammary

Internal mammary artery versus autogenous vein for coronary artery bypass graft

1974 ◽  
Vol 33 (1) ◽  
pp. 167
Author(s):  
Stephen J. Rossiter ◽  
William R. Brody ◽  
Jon C. Kosek ◽  
Martin J. Lipton ◽  
William W. Angell
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft ◽  
Internal Mammary ◽  
Autogenous Vein
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