MYOCARDIAL REVASCULARIZATION UTILIZING INTERNAL MAMMARY ARTERIES

Myocardial Revascularization

  • Syed Dawood Shah Bolan Medical College/SPH Quetta Pakistan
  • Fazal Ur Rehman Bolan Medical College/SPH Quetta Pakistan
  • Syed Abdul Bari National Institute of Cardiovascular Diseases Karachi Pakistan
  • Abdul Ghafar Bolan Medical College/SPH Quetta Pakistan
  • Mir Zaman Kasi College of Physicians & Surgeons of Pakistan (CPSP) Quetta Pakistan
Keywords: Aneurysmectomy, Concomitant valve replacement, Internal mammary, Literature, Saphenous vein

Abstract

Objective: To study myocardial revascularization with arterial grafts utilizing internal mammary arteries, with
special reference to its morbidity and mortality and the results of internal mammary artery grafting in various
ages and genders.
Study Design: Retrospective study.
Place and Duration of Study: National Institute of Cardiovascular Diseases (NICVD), from Mar 2012 to Feb 2013.
Material and Methods: Patients with concomitant valve replacement, ventricular aneurysmectomy redo coronary
bypass or other cardiac or ascending aortic procedures were excluded from this analysis. No patient was
excluded for any other reason. The age range was 35 to 80 years. The statistical analysis for comparison of
different proportions were carried out with the help of chi-square statistics, when the test is valid.
Results: A total of 150 patients were studied during the year 2012-2013, out of which 135 were males and 15 were
females. The ages ranged between 35-80 years. Majority of the patients in both groups were in the age range
between 45-60 years. Far less were females 10%-15 patients as compared to male patients (90% - 135). Out of these
18% had unstable and 5% had atypical angina. After surgery most of the patients in both the study groups
experienced an equal degree of angina relief. Exertional dyspnea was present in 20% and palpitation in 5% of our
patients.
Conclusion: In this study conclude that internal mammary grafting does not increase morbidity, has lower
mortality. Possibly no absolute contra - indications to the use of single, internal mammary artery there may be
some relative contra-indication

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Published
2018-10-31
How to Cite
Shah, S. D., Rehman, F. U., Bari, S. A., Ghafar, A., & Kasi, M. Z. (2018). MYOCARDIAL REVASCULARIZATION UTILIZING INTERNAL MAMMARY ARTERIES. Pakistan Armed Forces Medical Journal, 68(5), 1149-55. Retrieved from https://mail.pafmj.org/index.php/PAFMJ/article/view/2281
Section
Original Articles