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Retroaortic right internal thoracic artery grafting has failed to gain popularity. We aimed to delineate patient correlates of eligibility, distribution of targets, and effects of target remoteness on outcome and risk of retroaortic bleeding.Data of 861 patients undergoing skeletonized bilateral internal thoracic artery grafting (2007-2012) were analyzed according to retroaortic (n = 300) or T-graft configuration. Retroaortic graft subgroups were categorized according to proximal (first obtuse marginal, ramus) or distal (2nd, 3rd, or sequential 1st-2nd obtuse marginal) circumflex artery targets.LOESS curve analyses revealed that taller patients had a higher likelihood of retroaortic grafting. The distribution of 337 retroaortic graft targets (300 patients) was first obtuse marginal in 74.5

作者:Oren, Lev-Ran;Menachem, Matsa;Yaron, Ishay;Amir, Shabtai;Alina, Vodonos;Gideon, Sahar

来源:Asian cardiovascular & thoracic annals 2015 年 23卷 5期

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作者:
Oren, Lev-Ran;Menachem, Matsa;Yaron, Ishay;Amir, Shabtai;Alina, Vodonos;Gideon, Sahar
来源:
Asian cardiovascular & thoracic annals 2015 年 23卷 5期
标签:
Internal mammary-coronary artery anastomosis coronary artery bypass coronary artery disease mammary arteries thoracic arteries treatment outcome
Retroaortic right internal thoracic artery grafting has failed to gain popularity. We aimed to delineate patient correlates of eligibility, distribution of targets, and effects of target remoteness on outcome and risk of retroaortic bleeding.Data of 861 patients undergoing skeletonized bilateral internal thoracic artery grafting (2007-2012) were analyzed according to retroaortic (n = 300) or T-graft configuration. Retroaortic graft subgroups were categorized according to proximal (first obtuse marginal, ramus) or distal (2nd, 3rd, or sequential 1st-2nd obtuse marginal) circumflex artery targets.LOESS curve analyses revealed that taller patients had a higher likelihood of retroaortic grafting. The distribution of 337 retroaortic graft targets (300 patients) was first obtuse marginal in 74.5