Competitive Flow: Closure of Internal Thoracic Artery Graft After Successful Coronary Artery Bypass Graft SurgeryNovel Teaching Points
The internal thoracic artery has a patency rate of 85%-95% at 10-15 years post coronary artery bypass graft surgery. Development of total occlusion of the internal thoracic artery within a short period (< 6 months) after the surgery is exceedingly rare. However, competitive flow between the nativ...
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oai:doaj.org-article:05ccac56be8c42b5830f5239a9043c492021-11-30T04:17:26ZCompetitive Flow: Closure of Internal Thoracic Artery Graft After Successful Coronary Artery Bypass Graft SurgeryNovel Teaching Points2589-790X10.1016/j.cjco.2021.06.017https://doaj.org/article/05ccac56be8c42b5830f5239a9043c492021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2589790X21001827https://doaj.org/toc/2589-790XThe internal thoracic artery has a patency rate of 85%-95% at 10-15 years post coronary artery bypass graft surgery. Development of total occlusion of the internal thoracic artery within a short period (< 6 months) after the surgery is exceedingly rare. However, competitive flow between the native vessel and the conduit internal thoracic artery, or competitive flow between the 2 conduit internal thoracic arteries in a multiple arterial grafting procedure can jeopardize 1 of the 2 conduit internal thoracic arteries. We report the cases of 2 patients who had bilateral internal thoracic artery grafts, with total occlusion of 1 of the 2 grafts within a short period (6 months) after successful coronary artery bypass graft surgery. Résumé: L’artère thoracique interne a un taux de perméabilité des greffons de 85 % à 95 % 10 à 15 ans après un pontage aortocoronarien. L’apparition d’une occlusion totale de l’artère thoracique interne dans un court délai (< 6 mois) après l’intervention est extrêmement rare. Cependant, le flux compétitif entre le vaisseau natif et l’artère thoracique interne de conductance ou le flux compétitif entre les 2 artères thoraciques internes de conductance dans une procédure de greffe artérielle multiple peuvent menacer l’une des 2 artères thoraciques internes de conductance. Nous rapportons les cas de 2 patients ayant subi une greffe bilatérale de l’artère thoracique interne et présenté une occlusion totale de l’un des 2 greffons peu (6 mois) après un pontage aortocoronarien réussi.Ibrahim Mohsin, MD, MRCEMLalith Namburu, MDZaynah Sadiq, BSBrian Newberry, DOHabeeb M. Ahmed, MD, FACC, MABHP, RVTElsevierarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCJC Open, Vol 3, Iss 11, Pp 1406-1409 (2021) |
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Diseases of the circulatory (Cardiovascular) system RC666-701 |
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Diseases of the circulatory (Cardiovascular) system RC666-701 Ibrahim Mohsin, MD, MRCEM Lalith Namburu, MD Zaynah Sadiq, BS Brian Newberry, DO Habeeb M. Ahmed, MD, FACC, MABHP, RVT Competitive Flow: Closure of Internal Thoracic Artery Graft After Successful Coronary Artery Bypass Graft SurgeryNovel Teaching Points |
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The internal thoracic artery has a patency rate of 85%-95% at 10-15 years post coronary artery bypass graft surgery. Development of total occlusion of the internal thoracic artery within a short period (< 6 months) after the surgery is exceedingly rare. However, competitive flow between the native vessel and the conduit internal thoracic artery, or competitive flow between the 2 conduit internal thoracic arteries in a multiple arterial grafting procedure can jeopardize 1 of the 2 conduit internal thoracic arteries. We report the cases of 2 patients who had bilateral internal thoracic artery grafts, with total occlusion of 1 of the 2 grafts within a short period (6 months) after successful coronary artery bypass graft surgery. Résumé: L’artère thoracique interne a un taux de perméabilité des greffons de 85 % à 95 % 10 à 15 ans après un pontage aortocoronarien. L’apparition d’une occlusion totale de l’artère thoracique interne dans un court délai (< 6 mois) après l’intervention est extrêmement rare. Cependant, le flux compétitif entre le vaisseau natif et l’artère thoracique interne de conductance ou le flux compétitif entre les 2 artères thoraciques internes de conductance dans une procédure de greffe artérielle multiple peuvent menacer l’une des 2 artères thoraciques internes de conductance. Nous rapportons les cas de 2 patients ayant subi une greffe bilatérale de l’artère thoracique interne et présenté une occlusion totale de l’un des 2 greffons peu (6 mois) après un pontage aortocoronarien réussi. |
format |
article |
author |
Ibrahim Mohsin, MD, MRCEM Lalith Namburu, MD Zaynah Sadiq, BS Brian Newberry, DO Habeeb M. Ahmed, MD, FACC, MABHP, RVT |
author_facet |
Ibrahim Mohsin, MD, MRCEM Lalith Namburu, MD Zaynah Sadiq, BS Brian Newberry, DO Habeeb M. Ahmed, MD, FACC, MABHP, RVT |
author_sort |
Ibrahim Mohsin, MD, MRCEM |
title |
Competitive Flow: Closure of Internal Thoracic Artery Graft After Successful Coronary Artery Bypass Graft SurgeryNovel Teaching Points |
title_short |
Competitive Flow: Closure of Internal Thoracic Artery Graft After Successful Coronary Artery Bypass Graft SurgeryNovel Teaching Points |
title_full |
Competitive Flow: Closure of Internal Thoracic Artery Graft After Successful Coronary Artery Bypass Graft SurgeryNovel Teaching Points |
title_fullStr |
Competitive Flow: Closure of Internal Thoracic Artery Graft After Successful Coronary Artery Bypass Graft SurgeryNovel Teaching Points |
title_full_unstemmed |
Competitive Flow: Closure of Internal Thoracic Artery Graft After Successful Coronary Artery Bypass Graft SurgeryNovel Teaching Points |
title_sort |
competitive flow: closure of internal thoracic artery graft after successful coronary artery bypass graft surgerynovel teaching points |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/05ccac56be8c42b5830f5239a9043c49 |
work_keys_str_mv |
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