Right Gastroepiploic Artery for Revascularization of the Right Coronary Territory in Off- Pump Total Arterial Revascularization: Strategies to Improve.

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Right Gastroepiploic Artery for Revascularization of the Right Coronary Territory in Off- Pump Total Arterial Revascularization: Strategies to Improve Patency Ki-Bong Kim, MD, PhD, Kwang Ree Cho, MD, Jae-Sung Choi, MD, Hyun-Joo Lee, MD The Annals of Thoracic Surgery Volume 81, Issue 6, Pages 2135-2141 (June 2006) DOI: 10.1016/j.athoracsur.2006.01.043 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative transit time flow measurement findings. (A) Competitive flow was suggested when the right gastroepiploic artery was grafted to the posterior descending artery as an in-situ graft. Before revision, pulsatility index (PI) value = 6.7, mean flow = 8 mL/min. (B) The right gastroepiploic artery was divided at its proximal section and anastomosed onto the ascending aorta as a free graft, and the flowmeter demonstrated an improved flow pattern. After revision, pulsatility index value = 1.5, mean flow = 20 mL/min. The Annals of Thoracic Surgery 2006 81, 2135-2141DOI: (10.1016/j.athoracsur.2006.01.043) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions