Anaortic off-pump Complete Arterial Revascularization Using Composite LIMA RIMA Y grafts: 1 Year Outcome

Authors

  • Asraful Hoque Associate Professor, Cardiac Surgery, NICVD, Bangladesh
  • Abu Shadat Mohammad Saem Khan Assistant Registrar, Cardiac Surgery, NICVD, Bangladesh
  • Romena Rahman Assistant Professor, Cardiac Surgery, NICVD, Bangladesh
  • Muhammad Asif Ahsan Chowdhury Assistant Registrar, Cardiac Surgery, NICVD, Bangladesh
  • Imran Ahmed Assistant Registrar, Cardiac Surgery, NICVD, Bangladesh
  • Wahida Salam Assistant Registrar, Cardiac Surgery, NICVD, Bangladesh
  • Md Monzur Hossain Assistant Registrar, Cardiac Surgery, NICVD, Bangladesh
  • Tanvir Hossain Assistant Registrar, Cardiac Surgery, NICVD, Bangladesh
  • Md Amirul Islam Assistant Professor, Cardiac Anaesthesiology, NICVD, Bangladesh

DOI:

https://doi.org/10.3329/bhj.v37i1.60101

Keywords:

Bilateral internal mammary arteries, coronary artery bypass grafting, internal mammary artery, LIMA -RIMA Y graft, off-pump

Abstract

Objective: The aim was to evaluate the early outcome of off-pump coronary artery bypass grafting (OPCABG) with a bilateral internal mammary artery (BIMA) Y configuration graft to achieve total arterial myocardial revascularization. Materials and Methods: From March 2018 to March 2020 total 30 cases of off pump CABG surgery using LIMA RIMA Y sequential grafts to achieve total arterial myocardial revascularization. Comparisons between LIMA + SVG and BIMA Y grafts were not made here. Result: The average age of the patients was 43.51±2.58 years. Most of them were male (93.34%). A total of 28 (93.34%) cases had triple-vessel disease. Double-vessel disease was found in 2 (6.66%) cases. The skeletonization skill was used to harvest the two IMAs and then the free right internal mammary artery was anastomosed end-to-side to the in situ left internal mammary artery to composite a Y configuration graft. Off-pump and sequential anastomosis methods were used to perform coronary artery bypass surgery for the patients. Graft patency was assessed by doing CT angiogram. All distal and proximal Y anastomoses were patent at 1 year follow up. There were no perioperative deaths. Conclusion: OPCABG by using LIMA RIMA Y graft is an effective option for total arterial revascularization and avoid surgical complications regarding the ascending aorta manupulation.

Bangladesh Heart Journal 2022; 37(1): 27-33

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Published

2022-06-20

How to Cite

Hoque, A. ., Saem Khan, A. S. M. ., Rahman, R. ., Ahsan Chowdhury, M. A. ., Ahmed, I. ., Salam, W. ., Hossain, M. M. ., Hossain, T. ., & Islam, M. A. . (2022). Anaortic off-pump Complete Arterial Revascularization Using Composite LIMA RIMA Y grafts: 1 Year Outcome. Bangladesh Heart Journal, 37(1), 27–33. https://doi.org/10.3329/bhj.v37i1.60101

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Original Articles