Internal Thoracic Artery Side Branch Ligation for Post Coronary Surgery Ischemia

Two cases of internal thoracic artery side-branch ligation in patients with recurrent angina after coronary bypass are reported with long-term follow-up. Ligation was performed with clips via a left thoracotomy. Treadmill stress testing after 3 and 4 years did not provoke any myocardial ischemia. Th...

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Veröffentlicht in:	Asian cardiovascular & thoracic annals 2007-08, Vol.15 (4), p.339-341
Hauptverfasser:	Tsakiridis, Kosmas, Mikroulis, Dimitrios, Didilis, Vassilios, Bougioukas, Georgios
Format:	Artikel
Sprache:	eng
Schlagworte:	Angina Pectoris - diagnostic imaging Angina Pectoris - etiology Angina Pectoris - physiopathology Angina Pectoris - surgery Cineangiography Coronary Artery Bypass - adverse effects Coronary Artery Disease - surgery Exercise Test Humans Ligation Male Mammary Arteries - diagnostic imaging Mammary Arteries - physiopathology Mammary Arteries - surgery Middle Aged Myocardial Ischemia - complications Myocardial Ischemia - diagnostic imaging Myocardial Ischemia - etiology Myocardial Ischemia - physiopathology Myocardial Ischemia - surgery Recurrence Regional Blood Flow Thoracic Surgery, Video-Assisted Thoracotomy Treatment Outcome
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Zusammenfassung:	Two cases of internal thoracic artery side-branch ligation in patients with recurrent angina after coronary bypass are reported with long-term follow-up. Ligation was performed with clips via a left thoracotomy. Treadmill stress testing after 3 and 4 years did not provoke any myocardial ischemia. These findings suggest that an unligated side-branch can produce a steal phenomenon.
ISSN:	0218-4923 1816-5370
DOI:	10.1177/021849230701500416