Journal «Angiology and Vascular Surgery» • 

2005 • VOLUME 11 • №3

RESULTS OF MYOCARDIAL REVASCULARIZATION BY TWO INTERNAL THORACIC ARTERIES USING A Y-SHAPED CONDUIT

G. Grigorian, R. Raffoul, F. Nappi, B. Andreassian, A. Lessana
Department of Heart Surgery, Northern Cardiology Center,
Saint-Denis, France

Materials and Methods: Between August 2002 and September 2004, 276 patients with coronary artery disease underwent surgical treatment using a Y-shaped conduit formed from two internal thoracic arteries (ITA). In 268 (97.1%) patients, myocardial revascularization required exclusively bimammary bypass grafting. In creation of the Y-shaped conduit in the capacity of a free transplant, the intercepted right ITA was connected to the left internal thoracic artery (LITA). In the remaining 7 (2.5%) patients, venous bypasses together with the internal thoracic arteries were employed: in one patient (0.36%), the radial artery was used.Results: Three patients (1.08%) died after operation. The survival rate accounted for 98.4%.Conclusion: The use of two internal thoracic arteries for complete myocardial revascularization provided beneficial results in the short- and long-term postoperative periods.

KEY WORDS: bimammary bypass grafting, Y-shaped bypass, sequential anastomoses.

P. 96

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