By F. Loogen (auth.), Universitäts-Professor Dr. med. Felix Unger (eds.)
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Extra resources for Coronary Artery Surgery
Thorae eardiovasc Surg 28: 280-284 5. Miller De, Stinson EB, Oyer PE, Reitz BA, Jamieson SW, Moreno-eabral RJ, Shumway NE (1981) Long-term elinical assessment of the efficacy of adjunctive coronary endarterectomy. J Thorae eardiovasc Surg 81: 21-29 6. Kamath ML, Schmidt DA, Pedraza PM, Blau FM, Sampathkumar A, Grzelak LL, Dudley Johnson W (1981) Patency and flow response in endarterectomized coronary arteries. Ann Thorac Surg 31: 28-35 7. Yacoub MH, Halim MA, Oureshi SA, Towers MK (1982) Late results of combined endarterectomy and bypass grafting for diffuse coronary artery disease.
Four patients had retrograde dilatations that were studied early postoperatively; three were unchanged, while one improved from the preoperative status. Early vein graft patency was 97% to dilated vesseIs and 93% to nondilated coronary arteries. Analysis of left ventriculograms showed that regional  and global wall motion was unchanged compared to the preoperative condition, and no postoperative differences could be detected be- Table 1. 24 45 Table 2. 1. Improved luminal diameter after successful intraoperative coronary dilatation.
J. Pepine In 1974, Dotter and Judkins  introduced percutaneous transluminal ballooncatheter dilatation of lower extremity arteries. This ingenious concept stimulated Grüntzig  and others [3, 4] to expand its application to the coronary arteries. The term percutaneous transluminal coronary angioplasty (PTCA) was introduced and several thousand patients have subsequently undergone dilatation in the catheterization laboratory . Turina  and Wallsh  were the first cardiac surgeons to report on the intraoperative use of transluminal balloon-catheter dilatation, and their pioneering efforts were followed by other surgical teams including ourselyes [7 -14].
Coronary Artery Surgery by F. Loogen (auth.), Universitäts-Professor Dr. med. Felix Unger (eds.)