Annals of Thoracic and Cardiovascular Surgery
Online ISSN : 2186-1005
Print ISSN : 1341-1098
Review Articles
Conduits Used in Coronary Artery Bypass Grafting: A Review of Morphological Studies
Brenda Martínez-GonzálezCynthia Guadalupe Reyes-HernándezAlejandro Quiroga-GarzaVíctor E. Rodríguez-RodríguezClaudia N. Esparza-HernándezRodrigo E. Elizondo-OmañaSantos Guzmán-López
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2017 Volume 23 Issue 2 Pages 55-65

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Abstract

There is a significant variety of vascular conduits options for coronary bypass surgery. Adequate graft selection is the most important factor for the success of the intervention. To ensure durability, permeability, and bypass function, there must be a morphological similarity between the graft and the coronary artery. The objective of this review was to analyze the morphological characteristics of the grafts that are most commonly used in coronary bypass surgery and the coronary arteries that are most frequently occluded. We included clinical information regarding the characteristics that determine the behavior of the grafts and its permeability over time. Currently, the internal thoracic artery is the standard choice for bypass surgery because of the morphological characteristics of the wall that makes less prone to developing atherosclerosis and hyperplasia. The radial and right gastroepiploic arteries are the following second and third best options, respectively. The ulnar artery is the preferred choice when other conduits are not feasible.

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