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  • Title: [Detection of early occlusion of aortocoronary by-passes. Usefulness of a non-angiographic method].
    Author: Trevethan S, Kuri J, Férez S, Lupi E, Villegas M, Martínez Ríos MA, Gaspar J, Gil M, Ban Hayashi E, Barragán R.
    Journal: Arch Inst Cardiol Mex; 1992; 62(5):415-23. PubMed ID: 1482219.
    Abstract:
    A total of 83 bypasses were studied. Angiographic results demonstrated occlusion in 3 of 24 bypass of internal mammary artery placed in the anterior descending artery, 2 in the right coronary artery, 1 in the posterolateral of the circumflex and 1 in the first diagonal branch, with a total occlusion average of 8.4% within the first 8 days. We found a good correlation between the coronarographic angiograms and the positivity or negativity of the echo-electrocardiographic tests, during atrial pacing. We believe that this simple method could be done routinely in all the patients after coronary surgery, to decide the need of a new coronary angiogram. Furthermore, this study shows that the occlusion of a single coronary bypass does not produce myocardial infarction, detectable by enzymatic measures or by resting EKG. This method also detects the early post-operatory sinus sick syndrome.
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