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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Autores principales: Ibrahim Mohsin, MD, MRCEM, Lalith Namburu, MD, Zaynah Sadiq, BS, Brian Newberry, DO, Habeeb M. Ahmed, MD, FACC, MABHP, RVT
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Publicado: Elsevier 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle 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
description 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
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