[Technical aspects of use of the right gastroepiploic artery for myocardial revascularization]. 1995

T Hájek, and T Honĕk, and J Spatenka, and K Cvachovec, and J Pálenícková
Kardiochirurgické oddĕlení FN Motol a 2. LF UK, Praha.

The authors give an account of 16 cases where they used the right gastroepiploic artery (GEA) for revascularization of the heart muscle. Their own findings are based on the author's experience at a department with the greatest number of thus operated patients (Groningen, Netherlands). These data were already published. GEA was used during the revascularization operation in 16 of 112 patients operated after 1994 (14%). All operated patients were males aged 30 to 58 years (mean age 47 years). None of the patients died. The use of GEA did not cause any postoperative complications. During the short-term follow up there was no reason to doubt the patency of the graft and an invasive examination was not indicated so far. According to the authors' experience the GEA graft can be used for anastomosis with the right coronary artery or its branch almost in all patients indicated for revascularization. It is thus possible to obtain a high-standard arterial graft where long-term patency can be assumed. The authors discuss in detail the indications and technique of the operation.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009204 Myocardial Revascularization The restoration of blood supply to the myocardium. (From Dorland, 28th ed) Internal Mammary Artery Implantation,Myocardial Revascularizations,Revascularization, Myocardial,Revascularizations, Myocardial
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013270 Stomach An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM. Stomachs
D017202 Myocardial Ischemia A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION). Heart Disease, Ischemic,Ischemia, Myocardial,Ischemic Heart Disease,Disease, Ischemic Heart,Diseases, Ischemic Heart,Heart Diseases, Ischemic,Ischemias, Myocardial,Ischemic Heart Diseases,Myocardial Ischemias

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