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KMID : 0311120090500010078
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Yonsei Medical Journal
2009 Volume.50 No. 1 p.78 ~ p.82
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Does Bilateral Pedicle Internal Thoracic Artery Harvest Increase the Risk of Mediastinitis?
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Choo Suk-Jung
Sung Si-Chan
Chung Sung-Woon
Kim Young-Dae
Lee Sang-Kwon
Lee Han-Cheol
Chun Kook-Jin
Kim June-Hong
Kim Jong-Won
Bae Mi-Ju
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Abstract
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Purpose: Bilateral in situ internal thoracic artery (ITA) bypassing may result in excellent myocardial revascularization without increasing the risk of deep sternal wound infection. Although there have been concerns with the use of pedicled bilateral ITA, the risk of infection may not be greater than the use of skeletonized ITA.
Materials and Methods: The present study was retrospectively undertaken to determine if pedicled BITA grafts are associated with a higher risk of sternal wound complications. A total of 207 patients who underwent bilateral ITA bypasses with or without existing diabetes mellitus, and 162 patients of those received bilateral pedicled ITA and 98 patients received unilateral ITA bypass grafts.
Results: No sternal wound complications were noted in either the bilateral ITA or unilateral left ITA groups.
Conclusion: Bilateral pedicled ITA harvesting was not associated with a greater incidence of infectious sternal complications compared to patients receiving unilateral ITA bypass grafts.
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KEYWORD
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Internal thoracic arteries, coronary artery bypass, surgical wound infection, sternum
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