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Alternatives to achieve total arterial revascularization using one or both mammary arteries and distal remnant of them as unique grafts

Abstract:

Introduction The aim of all coronary artery bypass grafts should be to allow patients to stay as long as possible without the need to repeat revascularization. Total arterial revascularization contributes to achieving these purposes. Objective To demonstrate that both mammary arteries can be used in various configurations to achieve total arterial revascularization. Methods 35 patients were included, 29 male and 6 female, with age average of 54.2 years, who were revascularized with one or both mammary arteries in the period between January 2012 and September 2014, with a mean follow-up time of 13.1 months. The additive EuroSCORE was 0 for men and 1 for women. Results Seven configurations are described to achieve total arterial revascularization using one or both mammary arteries and the distal remnant of a mammary arteries as single grafts. There were no deaths or major complications in patients revascularized. Six months later, all were asymptomatic with no new signs of ischemia in revascularized territories. Conclusions Total arterial revascularization using one or both mammary arteries and distal remaining one is possible and gives good results in selected patients.