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Arterial Grafting for Coronary Artery Bypass Surgery pp 140–147Cite as

Free Compared with Pedicled Right Internal Thoracic Arteries for Coronary Artery Bypass Grafting

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15.8 Conclusion

This study confirms that the right ITA is an excellent conduit for coronary artery bypass grafting. Excellent patency of the right ITA was observed when it was grafted to the LAD, diagonal, intermediate or proximal circumflex marginal branches, suggesting that preference should be given to the use of a right ITA when grafting to one of the coronary arteries on the left side (after the LITA). However, there were differences in patency between pedicled and free right ITAs when grafted to the right side. Free right ITA grafts are recommended for grafting the distal right coronary artery or its branches, and for bypassing the distal circumflex marginal branches because of their greater flexibility. Survival after bilateral ITA grafting was excellent, whether the right ITA was pedicled or free.

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Authors and Affiliations

  1. Private Medical Centre, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia

    J. Tatoulis MB, BS, MS, FRACS

  2. Department of Cardiac Surgery, Austin Hospital, Melbourne, Victoria, Australia

    B. F. Buxton MBBS, FRACS

  3. Department of Cardiac Surgery and Cardiology, Epworth Hospital, University of Melbourne, Melbourne, Australia

    J. A. Fuller MB, BS, FRACP, FRCP (Edin)

Authors
  1. J. Tatoulis MB, BS, MS, FRACS
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  2. B. F. Buxton MBBS, FRACS
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  3. J. A. Fuller MB, BS, FRACP, FRCP (Edin)
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Editor information

Editors and Affiliations

  1. Oregon Health and Science University, USA

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  2. Cardiovascular Research, Albert Starr Academic Center for Cardiac Surgery, Providence Heart and Vascular Institute, Portland, Oregon, USA

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  3. Department of Cardiac Surgery, The Central Hospital of Wuhan, China

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  4. Wuhan Heart Institute, The Central Hospital of Wuhan, China

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  5. Cardiovascular Surgical Research, The Chinese University of Hong Kong, Hong Kong

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  6. The University of Hong Kong, Hong Kong

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

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Tatoulis, J., Buxton, B.F., Fuller, J.A. (2006). Free Compared with Pedicled Right Internal Thoracic Arteries for Coronary Artery Bypass Grafting. In: He, GW. (eds) Arterial Grafting for Coronary Artery Bypass Surgery. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-30084-8_15

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  • DOI: https://doi.org/10.1007/3-540-30084-8_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-30083-0

  • Online ISBN: 978-3-540-30084-7

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