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Right Gastroepiploic Artery Grafting: History And Operative Techniques

J. Pym
Published 2006 · Medicine

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The right gastroepiploic artery has been used as a coronary artery bypass graft for almost 21 years, with excellent short termand long termresults and freedom from graft atherosclerosis. Despite this, it is underutilized, particularly in North America, and deserves further attention. The combination of pedicled internal thoracic artery grafts to the left coronary system and a pedicled right gastroepiploic artery graft to the right coronary system allows total arterial revascularization of the heart with three separate inflow sources and the avoidance of aortic manipulation. The right gastroepiploic artery should become the graft of choice for the posterior wall of the heart.
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