Does Bilateral Pedicle Internal Thoracic Artery Harvest Increase the Risk of Mediastinitis?.
- Author:
Suk Jung CHOO
1
;
Sang Kwon LEE
;
Sung Woon CHUNG
;
Jong Won KIM
;
Si Chan SUNG
;
Young Dae KIM
;
Mi Ju BAE
;
June Hong KIM
;
Kook Jin CHON
;
Han Cheol LEE
Author Information
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords: Internal thoracic arteries; coronary artery bypass; surgical wound infection; sternum
- MeSH: Aged; Coronary Artery Disease/epidemiology/*surgery; Diabetes Mellitus/epidemiology; Female; Humans; *Internal Mammary-Coronary Artery Anastomosis/statistics & numerical data; Male; Mammary Arteries/*transplantation; Mediastinitis/*epidemiology; Middle Aged; Retrospective Studies; Risk Factors; Sternum; Surgical Wound Infection/epidemiology; Tissue and Organ Harvesting/*adverse effects/statistics & numerical data
- From:Yonsei Medical Journal 2009;50(1):78-82
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
