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Postsurgical Revascularization

  • Claudio Smuclovisky
Chapter

Abstract

The purpose of surgical revascularization of the coronary arteries is to bypass an obstruction in an artery using a native artery or vein conduit as a graft. CTA has been demonstrated to be of significant value in the evaluation of coronary revascularization. Grafts are generally easier to evaluate than the native coronary arteries since they are less sensitive to temporal resolution-related motion artifacts. The exceptions are the distal anastomosis that is in the epicardium and areas where there are surgical clip artifacts present.

Keywords

Coronary Artery Bypass Graft Leave Anterior Descend Vein Graft Chronic Total Occlusion Saphenous Vein Graft 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Mills NL, Everson CT. Right gastoepiploic artery: a third arterial conduit for coronary bypass. Ann Thorac Surg 1989;47:706–711.CrossRefPubMedGoogle Scholar
  2. 2.
    Suma H, Isomura T. The right gastroepiploic artery graft. Multimedia Manual of Cardiovascular Surgery. http://mmcts.ctsnetjournals.org/cgi/reprint/2005/0425/mmcts.2004.000802.pdf

Suggested Readings

  1. Alter P, Herzum M, Maisch B. Development of a saphenous vein coronary artery bypass graft pseudoaneurysm. Interact Cardiovasc Thorac Surg 2004;3:171–173.CrossRefPubMedGoogle Scholar
  2. Anders K, Baum U, Schmid M, et al. Coronary artery bypass graft (CABG) patency: assessment with high-resolution submillimeter 16-slice multidetector-row computed tomography (MDCT) versus coronary angiography. Eur J Radiol 2006 Mar;57(3):336–344.CrossRefPubMedGoogle Scholar
  3. Atalay MK. Evaluation of the cardiac surgery patient by MRI and CT imaging: the state of the art. Med Health R I 2006 Jan;89(1):14–19.PubMedGoogle Scholar
  4. Bates ER, Holmes DR, Holmes DR, Jr. Saphenous Vein Bypass Graft Disease. London: Informa Health Care, 1998.Google Scholar
  5. Celebi M. Cardiomyopathy, dilated. http://www.emedicine.com/med/TOPIC289.HTM
  6. Chiappini B, Poncelet A, Noirhomme P, et al. Giant aneurysm of aortocoronary saphenous vein graft compressing the left pulmonary artery. J Card Surg 2006 Jul–Aug;21(4):425–427.CrossRefPubMedGoogle Scholar
  7. Cohn LA. Minimally invasive mitral valve repair surgery through a lower mini-sternotomy. http://www.ctsnet.org/sections/clinicalresources/adultcardiac/expert_tech-13.html
  8. Cooley DA. Bypass grafting with bilateral internal thoracic arteries and the right gastroepiploic artery. Circulation 1998;97:2384–2385.PubMedGoogle Scholar
  9. Cosgrove-Edwards A. Annuloplasty system. http://www.edwards.com/products/rings/cosgrove.htm
  10. Crusco F, Antoniella A, Papa V, et al. Evidence based medicine: role of multidetector CT in the follow-up of patients receiving coronary artery bypass graft. Radiol Med 2007a Jun;112(4):509–525.CrossRefPubMedGoogle Scholar
  11. Crusco F, Antoniella A, Papa V, et al. Midterm follow-up of patients receiving radial artery as coronary artery bypass grafts using 16-detector-row CT coronary angiography. Radiol Med 2007b Jun;112(4):538–549.CrossRefPubMedGoogle Scholar
  12. Desbiolles L, Leschka S, Plass A, et al. Evaluation of temporal windows for coronary artery bypass graft imaging with 64-slice CT. Eur Radiol 2007 Nov;17(11): 2819–2828.CrossRefPubMedGoogle Scholar
  13. Dhadwal AK, Abrol S, Zisbrod Z, et al. Pseudoaneurysms of the ascending aorta following coronary artery bypass surgery. J Card Surg 2006 May–Jun;21(3):221–224.CrossRefPubMedGoogle Scholar
  14. Feied CF. Pulmonary embolism. http://www.emedicine.com/emerg/topic490.htm
  15. Feuchtner GM, Schachner T, Bonatti J, et al. Diagnostic performance of 64-slice computed tomography in evaluation of coronary artery bypass grafts. AJR Am J Roentgenol 2007 Sep;189(3):574–580.CrossRefPubMedGoogle Scholar
  16. Frauenfelder T, Boutsianis E, Schertler T, et al. Flow and wall shear stress in end-to-side and side-to-side anastomosis of venous coronary artery bypass grafts. Biomed Eng Online 2007 Sep 26;6:35.CrossRefPubMedGoogle Scholar
  17. Gilkeson RC, Markowitz AH. Multislice CT evaluation of coronary artery bypass graft patients. J Thorac Imaging 2007 Feb;22(1):56–62.CrossRefPubMedGoogle Scholar
  18. Hermann F, Martinoff S, Meyer T, et al. Reduction of radiation dose estimates in cardiac 64-slice CT angiography in patients after coronary artery bypass graft surgery. Invest Radiol 2008 Apr;43(4):253–260.CrossRefPubMedGoogle Scholar
  19. Houslay ES, Lawton T, Sengupta A, et al. Non-invasive assessment of coronary artery bypass graft patency using 16-slice computed tomography angiography. J Cardiothorac Surg 2007 Jun 5;2:27.CrossRefPubMedGoogle Scholar
  20. Huang MP, Yu DQ, Liang CH, et al. Diagnostic value of 64-slice spiral CT coronary angiography for restenosis after bypass surgery. Nan Fang Yi Ke Da Xue Xue Bao 2007 Dec;27(12):1863–1865.PubMedGoogle Scholar
  21. Kamada T, Imanaka K, Ohuchi H. Mid-term results of aortoplasty for dilated ascending aorta associated with aortic valve disease. Ann Thorac Cardiovasc Surg 2003;9(4):253–256.PubMedGoogle Scholar
  22. Khattar RS, Fox DJ, Alty JE, et al. Pulmonary artery dissection: an emerging cardiovascular complication in surviving patients with chronic pulmonary hypertension. Heart 2005;91:142–145.CrossRefPubMedGoogle Scholar
  23. Kobayashi T, Ikeda Y, Murakami M, et al. Computed tomographic angiography to evaluate the right gastroepiploic artery for coronary artery bypass grafting. Ann Thorac Cardiovasc Surg 2008 Jun;14(3):166–171.PubMedGoogle Scholar
  24. Kon ZN, White C, Kwon MH, et al. The role of preexisting pathology in the development of neointimal hyperplasia in coronary artery bypass grafts. J Surg Res 2007 Oct;142(2):351–356.CrossRefPubMedGoogle Scholar
  25. Lau GT, Ridley LJ, Bannon PG, et al. Lumen loss in the first year in saphenous vein grafts is predominantly a result of negative remodeling of the whole vessel rather than a result of changes in wall thickness. Circulation 2006 Jul 4;114(1 Suppl): I435–I440.PubMedGoogle Scholar
  26. Liu ZY, Gao CQ, Li BJ, et al. Diagnostic study on the coronary artery bypass grafts lesions using 64 multi-slice computed tomography angiography. Zhonghua Wai Ke Za Zhi 2008 Feb 15;46(4):245–247.PubMedGoogle Scholar
  27. Malagutti P, Nieman K, Meijboom WB, et al. Use of 64-slice CT in symptomatic patients after coronary bypass surgery: evaluation of grafts and coronary arteries. Eur Heart J 2007 Aug;28(15):1879–1885.CrossRefPubMedGoogle Scholar
  28. Mandegar MH, Roshanali F. Surgery of saphenous vein graft aneurysm based on 64-slice computed tomography (CT) diagnostic assessment. Eur J Cardiothorac Surg 2007 Jun;31(6):1137.CrossRefPubMedGoogle Scholar
  29. Moro J, Almenar L, Igual B, et al. Multislice CT in graft vascular disease. A pilot study. Transplant Proc 2006 Oct;38(8):2563–2565.CrossRefPubMedGoogle Scholar
  30. Mueller J, Jeudy J, Poston R, et al. Cardiac CT angiography after coronary bypass surgery: prevalence of incidental findings. AJR Am J Roentgenol 2007 Aug;189(2):414–419.CrossRefPubMedGoogle Scholar
  31. Murai S, Hamada S, Yamamoto S, et al. Evaluation of coronary artery bypass grafts using multidetector-row CT with Japanese patients. Radiat Med 2006 Jan;24(1): 72–76.CrossRefPubMedGoogle Scholar
  32. Nikolaou K, Saam T, Rist C, et al. Pre- and postsurgical diagnostics with dual-source computed tomography in cardiac surgery. Radiologe 2007 Apr;47(4):310–318.CrossRefPubMedGoogle Scholar
  33. Nölke L, McGovern E, Wood AE. Saphenous vein graft aneurysms; the true, false and ugly! Interact Cardiovasc Thorac Surg 2004 Dec;3(4):631–633.CrossRefPubMedGoogle Scholar
  34. Pache G, Saueressig U, Frydrychowicz A, et al. Initial experience with 64-slice cardiac CT: non-invasive visualization of coronary artery bypass grafts. Eur Heart J 2006 Apr;27(8):976–980.CrossRefPubMedGoogle Scholar
  35. Peterman MA, Hamman BL, Schussler JM. 64-Slice CT angiography of saphenous vein graft anastomoses fashioned with interrupted nitinol clips. Ann Thorac Surg 2007 Mar;83(3):1204.CrossRefPubMedGoogle Scholar
  36. Plass A, Grünenfelder J, Leschka S, et al. Coronary artery imaging with 64-slice computed tomography from cardiac surgical perspective. Eur J Cardiothorac Surg 2006 Jul;30(1):109–116.CrossRefPubMedGoogle Scholar
  37. Pym J, Brown PM, Charrette EJ, et al. Gastroepiploic-coronary anastomosis: a viable alternative bypass graft. J Thorac Cardiovasc Surg 1987;94(2):256–259.PubMedGoogle Scholar
  38. Robicsek F, Cook JW, Reames MK. Size reduction ascending aortoplasty: is it dead or alive? J Thorac Cardiovasc Surg 2004;128(4):562–570.CrossRefPubMedGoogle Scholar
  39. Senbaklavaci O, Kaneko Y, Bartunek A. Rupture and dissection in pulmonary artery aneurysms: incidence, cause, and treatment—Review and case report. J Thorac Cardiovasc Surg 2001;121:1006–1008.CrossRefPubMedGoogle Scholar
  40. Shrestha M, Khaladj N, Bara C, et al. Quality control after total arterial revascularisation: multislice computer tomography cannot replace coronary angiography. Clin Res Cardiol 2008 Jun;97(6):371–375.CrossRefPubMedGoogle Scholar
  41. Simon AR, Baraki H, Weidemann J, et al. High-resolution 64-slice helical-computer-assisted-tomographical-angiography as a diagnostic tool before CABG surgery: the dawn of a new era? Eur J Cardiothorac Surg 2007 Dec;32(6):896–901.CrossRefPubMedGoogle Scholar
  42. Thomas JL. The Vineberg legacy: internal mammary artery implantation from inception to obsolescence. Tex Heart Inst J 1999; 26(2):107–113.PubMedGoogle Scholar
  43. van de Wal RM, van Werkum JW, le Cocq d'Armandville MC, et al. Giant aneurysm of an aortocoronary venous bypass graft compressing the right ventricle. Neth Heart J 2007 Aug;15(7–8):252–254.CrossRefPubMedGoogle Scholar
  44. Vermeersch P, Agostoni P, Verheye S, et al. Randomized double-blind comparison of sirolimus-eluting stent versus bare-metal stent implantation in diseased saphenous vein grafts: six-month angiographic, intravascular ultrasound, and clinical follow-up of the RRISC Trial. J Am Coll Cardiol 2006 Dec 19;48(12):2423–2431.CrossRefPubMedGoogle Scholar
  45. Vermeersch P, Agostoni P, Verheye S, et al.; DELAYED RRISC (Death and Events at Long-term follow-up AnalYsis: extended duration of the reduction of restenosis in saphenous vein grafts with cypher stent) Investigators. Increased late mortality after sirolimus-eluting stents versus bare-metal stents in diseased saphenous vein grafts: results from the randomized DELAYED RRISC Trial. J Am Coll Cardiol 2007 Jul 17;50(3):261–267.CrossRefPubMedGoogle Scholar
  46. Wiesenfarth JM. Dissection, aortic. http://www.emedicine.com/emerg/TOPIC28.HTM

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Claudio Smuclovisky
    • 1
  1. 1.South Florida Medical Imaging Cardiovascular InstituteBoca RatonUSA

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