Venous reconstruction with radial artery harvesting: Domino method

We describe two cases of venous reconstruction after radial artery (RA) harvesting for coronary artery bypass grafting (CABG). Patient 1, a 70-year-old man who underwent CABG 16 years earlier, presented with acute posterolateral myocardial infarction caused by total occlusion of the saphenous vein g...

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Veröffentlicht in:General thoracic and cardiovascular surgery 2010-12, Vol.58 (12), p.620-621
Hauptverfasser: Tanaka, Keita, Naruse, Yoshihiro
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Naruse, Yoshihiro
description We describe two cases of venous reconstruction after radial artery (RA) harvesting for coronary artery bypass grafting (CABG). Patient 1, a 70-year-old man who underwent CABG 16 years earlier, presented with acute posterolateral myocardial infarction caused by total occlusion of the saphenous vein graft (SVG). RA grafting was considered ideal, but he had bilateral hypoplastic ulnar arteries. Venous reconstruction with RA harvesting using SVG was performed, and surgery was successful. Patient 2, a 57-year-old-man with chronic renal failure caused by polycystic kidney disease, presented with angina pectoris. Off-pump CABG was recommended. We used a right internal thoracic artery and the RA as an I-composite graft. However, RA preservation was essential for future hemodialysis. The RA was harvested and reconstructed as described for patient 1. Ischemia had not developed in the hands and forearms as of 5 years after the surgery. We believe that the method may be an alternative graft choice in CABG.
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Patient 1, a 70-year-old man who underwent CABG 16 years earlier, presented with acute posterolateral myocardial infarction caused by total occlusion of the saphenous vein graft (SVG). RA grafting was considered ideal, but he had bilateral hypoplastic ulnar arteries. Venous reconstruction with RA harvesting using SVG was performed, and surgery was successful. Patient 2, a 57-year-old-man with chronic renal failure caused by polycystic kidney disease, presented with angina pectoris. Off-pump CABG was recommended. We used a right internal thoracic artery and the RA as an I-composite graft. However, RA preservation was essential for future hemodialysis. The RA was harvested and reconstructed as described for patient 1. Ischemia had not developed in the hands and forearms as of 5 years after the surgery. 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subjects Aged
Angina pectoris
Cardiac Surgery
Cardiology
Case Report
Coronary Angiography
Coronary Artery Bypass - adverse effects
Coronary Artery Bypass - methods
Coronary Artery Bypass, Off-Pump
Coronary Occlusion - surgery
Graft Occlusion, Vascular - diagnostic imaging
Graft Occlusion, Vascular - etiology
Graft Occlusion, Vascular - surgery
Humans
Magnetic Resonance Angiography
Male
Medicine
Medicine & Public Health
Middle Aged
Myocardial Infarction - etiology
Myocardial Infarction - surgery
Radial Artery - transplantation
Reoperation
Saphenous Vein - diagnostic imaging
Saphenous Vein - transplantation
Surgical Oncology
Thoracic Surgery
Tissue and Organ Harvesting
Treatment Outcome
Veins & arteries
title Venous reconstruction with radial artery harvesting: Domino method
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