Impact of Bilateral and Single Internal Thoracic Artery Bypass Grafting on Postoperative Reverse Remodeling in Patients with End-Stage Ischemic Cardiomyopathy

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Authors: Yusuke Misumi, Daisuke Yoshioka, Takuji Kawamura, Ai Kawamura, Shin Yajima, Shunsuke Saito, Takashi Yamauchi, Kazuo Shimamura, Shigeru Miyagawa
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Abstract

PURPOSE: The internal thoracic artery (ITA) has shown increased production of nitric oxide, which has beneficial effects on ventricular remodeling, among conduits of coronary artery bypass grafting (CABG). However, little is known about the impact of bilateral ITA strategy on postoperative left ventricle (LV) reverse remodeling as compared with single ITA, especially in patients with severely impaired LV function. METHODS: We retrospectively reviewed 126 propensity-matched patients with advanced ischemic cardiomyopathy (ICM) (left ventricular ejection fraction

Fields of Study & Subjects

Cardiac and Coronary Surgery Techniques Cardiac Imaging and Diagnostics Coronary Interventions and Diagnostics

Publication details

Journal / source
Annals of Thoracic and Cardiovascular Surgery
Volume
32
Issue
1
Pages
n/a–n/a
Publication date
1 January 2026
Language
EN