Evaluation of Blood Hemodynamics in Vascular Grafts after Total Arterial Coronary Revascularization
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 7
Abstract
Arterial grafting has increasingly been advocated for the treatment of coronary artery disease in an attempt to improve the long-term results. In the quest to perform routine total arterial revascularization, composite Y graft methods are gaining popularity. The aim of our study was to evaluate whether blood flow in the left internal thoracic artery can provide sufficient perfusion to the entire cardiac muscle per se. Twenty patients with severe coronary artery stenosis who underwent complete arterial coronary revascularization using a composite graft entered our study. Blood flow in thoracic trunk was evaluated in three phases: cross-clamp on, cross-clamp off, and after weaning the patient from cardiopulmonary bypass. Mean arterial blood pressure in the thoracic trunk in these various positions was 62.7±3.7. left internal thora cic artery can provide sufficient blood flow to the cardiac muscles for both rest and exercise conditions.
Authors and Affiliations
Ahmad Ali Amirghofran| Department of Cardiac Surgery, Shiraz University of Medical Sciences, Shiraz, Iran, Ali Karami| Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran, Mina Amiri| School of Nursing and midwifery, Shiraz University of Medical Sciences, Shiraz, Iran, Rahim Hemmati| Shiraz University of Medical Sciences, Shiraz, Iran, Pooya Vatankhah| Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran, Corresponding Email: Pvatankhah@yahoo.com
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- EP ID EP11816
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