Cor Vasa 2003, 44(2):105-107

Long-term results of myocardial arterial revascularization using the right gastroepiploic artery

Jan Vojáček^1,*, Tomáš Hájek², Jan Burkert¹, Josef Veselka¹, David Tesař³, Milan Horn¹, Adrian Kolesár¹, Jaroslav Hlubocký¹, Michal Horáček⁴, Valter Zenkner⁴, Tomáš Honěk¹

¹ Kardiochirurgická klinika, Fakultní nemocnice Motol, Praha

² Kardiochirurgické oddělení, Fakultní nemocnice, Plzeň

³ Klinika zobrazovacích metod

⁴ Klinika anesteziologie a resuscitace, Fakultní nemocnice Motol, Praha, Česká republika

Our study was designed to determine the long-term results of myocardial arterial revascularization using the gastroepiploic artery (GEA). We retrospectively evaluated a total of 66 patients undergoing surgery, in our department from 1994 through 1996, with the use of the GEA as part of multiple arterial revascularization. All procedures were performed with the use of extracorporeal circulation in cardioplegic heart arrest. Clinical results were determined by means of a questionnaire-based study; 92% of patients has been on long-term follow-up. The patency of the GEA and other bypasses was assessed in 13 patients (20%) based on coronary arteriography results.
The average number of anastomoses was 3.13 per patient. Complete arterial revascularization was achieved in 70% of patients (46/66). Early mortality was 3% (2/66). Another four patients died during follow-up after a mean period of 7.1 (2.5-8) years. Postoperative reduction in complaints was reported by 96% of patients; 88% of patients did not experience a subsequent cardiovascular event. Survival during the follow-up period was 91%. GEA bypass occlusion occurred in one case (8%). LIMA and RIMA patency rates were 100%. Venous conduits were patent in 80% (4/5).
The long-term outcome of arterial revascularization using the GEA is favorable in our group.

Keywords: Gastroepiploic artery; Myocardial arterial revascularization

Published: February 1, 2003  Show citation