Assessment of Target Vessels for Saphenous Vein Grafting: Difference between revisions

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==Overview==
==Overview==
A coronary artery may be unsuitable for bypass grafting if it is small (< 1 mm or < 1.5 mm depending on surgeon preference), heavily calcified (meaning the artery does not have a section free of CAD) or intramyocardial (the coronary artery is located within the heart muscle rather than on the surface of the heart).  Similarly, a person with a single [[stenosis]] ("narrowing") of the [[Left coronary artery|left main]] coronary artery requires only two bypasses (to the LAD and the LCX).  However, a left main lesion places a person at the highest risk for death from a cardiac cause.
A coronary artery may be unsuitable for bypass grafting if it is small (< 1 mm or < 1.5 mm depending on surgeon preference), heavily calcified (meaning the artery does not have a section free of CAD) or intramyocardial (the coronary artery is located within the heart muscle rather than on the surface of the heart).  


Although the cardiothoracic surgeon reviews the [[coronary angiogram]] prior to surgery and identifies the lesions (or "blockages") in the coronary arteries and will estimate the number of bypass grafts prior to surgery, the final decision is made in the operating room upon examination of the heart and the suitability of the vessel for bypassing.
Although the cardiothoracic surgeon reviews the [[coronary angiogram]] prior to surgery and identifies the lesions (or "blockages") in the coronary arteries and will estimate the number of bypass grafts prior to surgery, the final decision is made in the operating room upon examination of the heart and the suitability of the vessel for bypassing.

Latest revision as of 22:32, 8 August 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Overview

A coronary artery may be unsuitable for bypass grafting if it is small (< 1 mm or < 1.5 mm depending on surgeon preference), heavily calcified (meaning the artery does not have a section free of CAD) or intramyocardial (the coronary artery is located within the heart muscle rather than on the surface of the heart).

Although the cardiothoracic surgeon reviews the coronary angiogram prior to surgery and identifies the lesions (or "blockages") in the coronary arteries and will estimate the number of bypass grafts prior to surgery, the final decision is made in the operating room upon examination of the heart and the suitability of the vessel for bypassing.

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