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C. Seiler, R. Kirkeeide, K. Gould (1991)
Basic structure-function relations of the epicardial coronary vascular tree. Basis of quantitative coronary arteriography for diffuse coronary artery disease.Circulation, 85
L. McBride, H. Barner (1983)
The left internal mammary artery as a sequential graft to the left anterior descending system.The Journal of thoracic and cardiovascular surgery, 86 5
R. Hamby, A. Aintablian, B. Wisoff, M. Hartstein (1977)
Comparative study of the postoperative flow in the saphenous vein and internal mammary artery bypass grafts.American heart journal, 93 3
Akio Wakabayashi, Edward Beron, Mary Lou, John Mino, Iseu Costa, John Connolly (1970)
Physiological basis for the systemic-to-coronary artery bypass graft. Inadequacy of the internal mammary artery for this purpose and appraisal of the ascending aorta as its proximal site.Archives of surgery, 100 1
H. Barner (1973)
Blood flow in the internal mammary artery.American heart journal, 86 4
Massroor Ghods, R. Mangal, A. Iskandrian, W. Santamore (1992)
Importance of Intraluminal Pressure on Hemodynamics and Vasoconstriction Responses of Stenotic ArteriesCirculation, 85
G. Werner, V. Wiegand, U. Tebbe, H. Kreuzer (1989)
Contrary effects of acetylcholine on coronary arteries and aortocoronary venous grafts in man.European heart journal, 10 Suppl F
H. Suma, Y. Wanibuchi, Y. Terada, S. Fukuda, T. Takayama, S. Furuta, D. Doty (1993)
The right gastroepiploic artery graft: Clinical and angiographic midterm results in 200 patientsThe Journal of Thoracic and Cardiovascular Surgery, 105
J. Hodgson, Arun Singh, T. Drew, R. Riley, David Williams (1986)
Coronary flow reserve provided by sequential internal mammary artery grafts.Journal of the American College of Cardiology, 7 1
Josef Vincent, Jacques Son, Stefan Skotnicki (1990)
Inferior epigastric artery as a conduit in myocardial revascularization: the alternative free arterial graft.The Annals of thoracic surgery, 49 2
X. Li, P. Stulz, R. Siebenmann, Z. Yang, T. Lüscher (1992)
Different effects of activated platelets in the right gastroepiploic and internal mammary arteries. Implications for coronary artery grafting.The Journal of thoracic and cardiovascular surgery, 104 5
R. Flemma, Harjeet Singh, A. Tector, D. Lepley, Bruce Frazier (1975)
Comparative hemodynamic properties of vein and mammary artery in coronary bypass operations.The Annals of thoracic surgery, 20 6
E. Jones, O. Lattouf, W. Weintraub (1989)
Catastrophic consequences of internal mammary artery hypoperfusion.The Journal of thoracic and cardiovascular surgery, 98 5 Pt 2
Zhihong Yang, Ludwig, von, Segesser, Erwin Bauer, P. Stulz, M. Turina, Thomas Luischer (1991)
Different activation of the endothelial L-arginine and cyclooxygenase pathway in the human internal mammary artery and saphenous vein.Circulation research, 68 1
J Dodge, B. Brown, E. Bolson, H. Dodge (1992)
Lumen Diameter of Normal Human Coronary Arteries: Influence of Age, Sex, Anatomic Variation, and Left Ventricular Hypertrophy or DilationCirculation, 86
D. Bergel (1991)
Geigy Scientific TablesCardiovascular Research, 25
W. Santamore, R. Kent, R. Carey, A. Bove (1982)
Synergistic effects of pressure, distal resistance, and vasoconstriction on stenosis.The American journal of physiology, 243 2
R. Wilson, M. Marcus, C. White (1988)
Effects of coronary bypass surgery and angioplasty on coronary blood flow and flow reserve.Progress in cardiovascular diseases, 31 2
V. Smiěsko, J. Kozík, S. Doležel (1985)
Role of endothelium in the control of arterial diameter by blood flow.Blood vessels, 22 5
W. Santamore, K. Li (1993)
Disassociation of intrinsic and haemodynamic responses in stenotic arteries.Cardiovascular research, 27 11
S. Downing, L. Edmunds (1992)
Release of vasoactive substances during cardiopulmonary bypass.The Annals of thoracic surgery, 54 6
F. Loop, B. Lytle, D. Cosgrove, R. Stewart, M. Goormastic, G. Williams, L. Golding, C. Gill, P. Taylor, W. Sheldon, W. Proudfit (1986)
Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events.The New England journal of medicine, 314 1
H. Barner, J. Standeven, Jeffrey Reese (1985)
Twelve-year experience with internal mammary artery for coronary artery bypass.The Journal of thoracic and cardiovascular surgery, 90 5
B. Lytle, F. Loop, D. Cosgrove, N. Ratliff, Kirk Easley, P. Taylor (1985)
Long-term (5 to 12 years) serial studies of internal mammary artery and saphenous vein coronary bypass grafts.The Journal of thoracic and cardiovascular surgery, 89 2
A. Bove, W. Santamore, R. Carey (1983)
Reduced myocardial blood flow resulting from dynamic changes in coronary artery stenosis.International journal of cardiology, 4 3
M. Buche, J. Schoevaerdts, Y. Louagie, E. Schroeder, Beaudoin Marchandise, P. Chenu, R. Dion, R. Verhelst, M. Deloos, Emmanuel Gonzales, Charles Chalant, A. Starr (1992)
Use of the inferior epigastric artery for coronary bypass.The Journal of thoracic and cardiovascular surgery, 103 4
R. Furchgott, J. Zawadzki (1980)
The obligatory role of endothelial cells in the relaxation of arterial smooth muscle by acetylcholineNature, 288
H. Buikema, J. Grandjean, S. Broek, W. Gilst, K. Lie, H. Wesseling (1992)
Differences in Vasomotor Control Between Human Gastroepiploic and Left Internal Mammary ArteryCirculation, 86
Z. Yang, R. Siebenmann, M. Studer, L. Egloff, T. Lüscher (1992)
Similar endothelium-dependent relaxation, but enhanced contractility, of the right gastroepiploic artery as compared with the internal mammary artery.The Journal of thoracic and cardiovascular surgery, 104 2
Kun Li, W. Santamore, D. Morley, T. Tulenko (1989)
Stenotic amplification of vasoconstriction responses.The American journal of physiology, 256 4 Pt 2
Y. Louagie, M. Buche, E. Schröder, J. Schoevaerdts (1992)
Coronary bypass with both internal mammary and inferior epigastric arteries.The Annals of thoracic surgery, 53 6
AbstractThis study examined why an artery becomes vulnerable to spasm when used as a bypass graft. We hypothesized that high flow demands would decrease pressure distally in the conduit (afterload), thus increasing the sensitivity to vasoconstrictors. Furthermore, perioperative endothelial dysfunction would additionally sensitize the artery to constrictors. Six gastroepiploic arteries (GEA, 1.0-1.5 mm diameter, 11 cm length) were harvested from adult pigs (110-125 kg) and mounted on a computer-controlled perfusion system. The inflow pressure was set at 80 mmHg and outflow resistance was adjusted to simulate normal (in situ) or high (coronary bypass graft) flow demands. Gastroepiploic flow and distal pressures were measured at baseline [B] and after adding norepinephrine (NE, 10(-9) M to 10(-5) M). Under normal flow demand, a minimal pressure drop existed across the GEA and flow decreased only at high NE concentrations. High flow demand decreased distal GEA pressure and increased the sensitivity to NE. To block endothelial function N- Monomethyl-L-Arginine, Monoacetate (L-NMMA, 10(-5) M) was then added. Under high flow demand, blocking endothelial function resulted in an additional fivefold increase in sensitivity to NE (ED50 from 9.75 10(- 8) M to 2.11 10(-8) M, P < 0.05). It was shown that in long narrow arterial grafts, high flow demands cause cumulative pressure losses. Even with normal endothelial function, these pressure losses render the artery responsive to vasoconstrictors. Endothelial dysfunction additionally increases the sensitivity of the artery. Anastomosis of a small arterial graft to a large myocardial perfusion bed may result in reduced distal conduit pressure and may predispose to the development of myocardial ischemia even when low doses of vasoconstrictors are used. Perioperative endothelial dysfunction may exacerbate this effect.
European Journal of Cardio-Thoracic Surgery – Oxford University Press
Published: Jan 1, 1996
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