TY - JOUR ID - 84193 TI - RESULTS OF BILATERAL INTERNAL MAMMARY ARTERY USE IN OPCAB: REPORT OF 200 CASES JO - Iranian Heart Journal JA - IHA LA - en SN - AU - NEZAFATI, M.H. AD - DEPARTMENT OF CARDIAC SURGERY, IMAM REZA HOSPITAL, MASHAHAD UNIVERSTY OF MEDICAL SCIENCES, MASHHAD, ISLAMIC REPUBLIC OF IRAN Y1 - 2004 PY - 2004 VL - 5 IS - 4 SP - 24 EP - 29 KW - Coronary Artery Disease KW - CORONARY BYPASS KW - OFF-PUMP HEART SURGERY KW - INTERNAL MAMMARY ARTERIES DO - N2 - Background: Skeletonized harvesting of the bilateral internal mammary arteries (BIMA) decreases the occurrence of sternal devascularization, thus decreasing the risk of sternal complications, while better patency rates improve survival in all patients.Methods: From March 1997 to June 2003, 200 patients underwent bilateral skeletonized IMA grafting during off pump coronary artery bypass grafting (OPCAB). Of the 178 men and 22 women, 48 were older than 60 years, and 68 had diabetes (22 insulin, and 46 non-insulin dependent).Results: Hospital mortality in the BIMA series was 1 patient (0.5 %). This patient had COPD.Early postoperative morbidity included bleeding in 2 patients (1%), mediastinitis in 2 patients (1%), low cardiac output in 2 patients (0.5%) requiring intra-aortic balloon pump and preoperative myocardial infarction in one patient (0.5%).Conclusion: Bilateral skeletonized IMA grafting is associated with satisfactory results not only in elderly patients but also in diabetic patients; however, it is not recommended in patients with chronic obstructive pulmonary disease. UR - http://journal.iha.org.ir/article_84193.html L1 - http://journal.iha.org.ir/article_84193_575ebd8f5c3071e56072be2fd25c53e7.pdf ER -