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Right Gastroepiploic Artery Grafting: History and Operative Techniques

  • Chapter
Arterial Grafting for Coronary Artery Bypass Surgery

20.9 Conclusion

The right gastroepiploic artery has been used as a coronary artery bypass graft for almost 21 years, with excellent short termand long termresults and freedom from graft atherosclerosis. Despite this, it is underutilized, particularly in North America, and deserves further attention. The combination of pedicled internal thoracic artery grafts to the left coronary system and a pedicled right gastroepiploic artery graft to the right coronary system allows total arterial revascularization of the heart with three separate inflow sources and the avoidance of aortic manipulation. The right gastroepiploic artery should become the graft of choice for the posterior wall of the heart.

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References

  1. Bailey CP, Hirose T, Brancato R, et al. (1966) Revascularization of the posterior (diaphragmatic) portion of the heart. Ann Thorac Surg 2:791–805

    Article  Google Scholar 

  2. Bailey CP, Hirose T, Aventura A, et al. (1967) Revascularization of the ischemic posterior myocardium. Chest 52:273–285

    CAS  Google Scholar 

  3. Fitzgibbon GM, Hooper GD, MacIver DA (1970) Vineberg operation for myocardial ischemia without angina: a preliminary report. Can J Surg 13:135–143

    PubMed  CAS  Google Scholar 

  4. Hirose T, Yaghmaim, Vera CA (1969) Cineangiographic visualization technique of the implanted right gastroepiploic artery technique of the posterior myocardium. Vasc Surg 3:61–67

    PubMed  CAS  Google Scholar 

  5. Edwards WS, Lewis CE, Blakeley WR, Napolitano L (1973) Coronary artery bypass with internal mammary and splenic artery grafts. Ann Thorac Surg 15:35–40

    Article  PubMed  CAS  Google Scholar 

  6. Edwards WS, Blakeley WR, Lewis CE (1973) Technique of coronary bypass with autogenous arteries. J Thorac Cardiovasc Surg 65:272–275

    PubMed  CAS  Google Scholar 

  7. Larsen E, Johansen A, Anderson D (1969) Gastric arteriosclerosis in elderly people. Scand J Gastroenterol 4:387–389

    Article  PubMed  CAS  Google Scholar 

  8. Lukits A (1985) Coronary cure — an innovative technique expands the eligibility for bypass surgery. Equinox 19:16

    Google Scholar 

  9. Pym J, Brown PM, Charrette EJP, et al. (1987) Gastroepiploic to coronary anastomosis: a viable alternative bypass graft. J Thorac Cardiovasc Surg 94:256–259

    PubMed  CAS  Google Scholar 

  10. Suma H, Fukumoto H, Takeuchi A (1987) Coronary artery bypass grafting by using the in situ right gastroepiploic artery: basic study and clinical application. Ann Thorac Surg 44:394–397

    Article  PubMed  CAS  Google Scholar 

  11. Carter MJ (1987) The use of the right gastroepiploic artery in coronary artery bypass grafting. Aust NZ J Surg 57:317–321

    CAS  Google Scholar 

  12. Lytle BW, Cosgrove DM, Ratliff NB, Loop FD (1989) Coronary artery bypass grafting with the right gastroepiploic artery. J Thorac Cardiovasc Surg 97:826–831

    PubMed  CAS  Google Scholar 

  13. Mills NL, Everson CT (1989) Right gastroepiploic artery: a third arterial conduit for coronary artery bypass. Ann Thorac Surg 47:706–711

    Article  PubMed  CAS  Google Scholar 

  14. Verkkala K, Jarvinen A, Keto P, et al. (1989) Right gastroepiploic artery as a coronary bypass graft. Ann Thorac Surg 47:716–719

    Article  PubMed  CAS  Google Scholar 

  15. Suma H, Wanibuchi Y, Terada Y, et al. (1994) The right gastroepiploic artery graft: clinical and angiographic midterm results in 200 patients. J Thorac Cardiovasc Surg 105:615–623

    Google Scholar 

  16. Grandjean JG, Boonstra PW, denHeyer P, Ebels T (1994) Arterial revascularization with the right gastroepiploic and internal mammary arteries in 300 patients. J Thorac Cardiovasc Surg 107:1309–1316

    PubMed  CAS  Google Scholar 

  17. Pym J, Brown PM, Pearson M, Parker JO (1995) Right gastroepiploic to coronary artery bypass graft: the first decade of use. Circulation 92:45–49

    Google Scholar 

  18. Suma H, Isomura T, Horii T, Sato T (2000) Late angiographic results of using the right gastroepiploic artery as a graft. J Thorac Cardiovasc Surg 120:496–498

    Article  PubMed  CAS  Google Scholar 

  19. Pym J, Luffman BL, Parry MJ (1997) Total arterial revascularization of the heart: intentional or inevitable. AACN Clin Issues 8:9–19

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Lankenau and Frankford-Torresdale Hospitals and Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA

    J. Pym MB, BS, FRACS, FRCSC, FACS

Authors
  1. J. Pym MB, BS, FRACS, FRCSC, FACS
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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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© 2006 Springer-Verlag Berlin Heidelberg

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Pym, J. (2006). Right Gastroepiploic Artery Grafting: History and Operative Techniques. In: He, GW. (eds) Arterial Grafting for Coronary Artery Bypass Surgery. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-30084-8_20

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  • DOI: https://doi.org/10.1007/3-540-30084-8_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-30083-0

  • Online ISBN: 978-3-540-30084-7

  • eBook Packages: MedicineMedicine (R0)

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