Comparative Study of Pedicled versus Skeletonized Left Internal Mammary Artery Graft in Coronary Artery Bypass Graft Surgery
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Coronary artery disease (CAD) has emerged as a major health burden. There is a sharp increase in CAD incidence in the developing countries such as India. CAD has got multifactorial etiology. Coronary artery bypass graft (CABG) surgery is the important surgical procedure done in the history of CAD. CABG has prolonged the patients’ lifetime. Arterial revascularization provided long-term good results in CABG. Aim: This study is done to compare the clinical outcome of pedicled left internal mammary artery (LIMA) versus skeletonized LIMA. Materials and Methods: A total of 40 patients of CABG from our institution from the year January 2014 to January 2015 who had undergone LIMA to left anterior descending artery or proximal obtuse marginal branch were followed up to know about the post-operative distal flow and sternal wound healing. Results: In both pedicled and skeletonized LIMA groups, the distal flow of blood is adequate. Better sternal wound healing is found in skeletonized LIMA group. Conclusion: This study had proved that both pedicled and skeletonized LIMA graft in CABG has equal distal flow and better sternal wound healing in skeletonized LIMA group make this a choice in patients with increased chance of sternal wound infections.
Authors and Affiliations
G Josephraj, M Muthukumar, P Rani, B Karthikeyan, Heber Anandan
Keywords
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