use of internal mammary artery as a coronary bypass graft "experience of Ain Shams University"

ABSTRACT

From 1981 to 1991, 367 patients were subjected to cardiac revascularization at the Cardiothoracic Surgery Department of Ain Shams University Hospitals and at Heliopolis Cardiac Centre. From these patients, 79 were operated upon in the last year [1991]. There were 277 males and 90 females. Their ages ranged from 34 to 88 years. From these patients, 25 patients were subjected to combined procedures [12 patients had CABG and aortic valve replacement, 13 patients had CABG and left ventricular aneurysmectomy]. Internal mammary artery [IMA] was used either alone or in addition to vein grafts in 95 patients, from which 33 patients were performed in the last year. Post operative recurrent chest pain was recorded in 54 patients [15%], none of them had IMA graft. The mortality rate was [16%] before 1985. CABG improved survival and quality of life for most of coronary artery disease patients specially when IMA graft was used either alone or in addition to vein grafts