AW: [HSF] Persistence of mammary branches and post CABGangina:whichisthe truth?

Wed Jul 4 22:10:02 EDT 2007

Tea, Ani, Rodriguez-Campos,all

I have read many articles, some pro, some contra. The described cases of
positive angina show a very, very big first intercostal artery in a reangio,
located very high, and the patients have relief of their angina after
ligating or coiling them. In 2 descriptions, after intravascular coiling,
the patients had angina again, then a reangio showed the big intercostal
artery open, again recoiled in one and ligated in other, the patients had no
more angina. The patients were studied with thallium scintigraphy.
In  papers which do not recognize this RARE but possible problem, the
authors hadn´t seen such a  case, they write wonderful phisiopathologic
comments valid for the majority of the cases, but they did  studies in
patients with smaller collaterals. Even Calafiore does not deny this
possibility. 
Case reports: Constantin von zur Mühlen 2006, Marco Pocar JTCVS 2005,
Sebastian Pagni ATS 2001, Renee Hartz ATS 1997, P.K.Spanos 1998, Pelias A
JTCVS 1985, Mishekel in  Cateth Cardiovasc Diag 1992,Sharouni Cath
Cardiovasc Diag 1994
Negative comments: Luise-Calafiore 1997, Calafiore ATS 1998, Claudio
Pragliola JTCVS 1999, Mario Gaudino EJCTS 1999, Morton Kern: Editorial ATS
1999
Interesting: Gaudino ATS 1998:" this possibility seems to be minimal", but
he doesn´t discard it. 
I believe that it could be in cases when this lateral costal artery is
bigger than the LIMA. If you look at the angios in these case reports, the
lateral costal artery is very big...

Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Tea Acuff
Gesendet: Mittwoch, 4. Juli 2007 14:59
An: OpenHeart-L at lists.hsforum.com
Betreff: Re: [HSF] Persistence of mammary branches and post
CABGangina:whichisthe truth?

I believe...but not very much. Sorry for the double negatives.
tea

----- Original Message ----
From: A <alsadd at ksu.edu.sa>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, July 4, 2007 11:42:12 AM
Subject: RE: [HSF] Persistence of mammary branches and post
CABGangina:whichis the truth?

Tea:
Thank you for your response but please allow to plead ignorance. Are you
with me or do you believe that a mammary branch can cause a steal
phenomenon? 
In all honesty your English is too perfect I envy you

Ahmed

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Tea Acuff
Sent: Tuesday, July 03, 2007 5:00 PM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] Persistence of mammary branches and post
CABGangina:whichis the truth?

I don't doubt you (I believe), but it is unlikely common among either
successful or failed Lima to LAD grafts.

tea

----- Original Message ----
From: A <alsadd at ksu.edu.sa>
To: OpenHeart-L at lists.hsforum.com
Sent: Tuesday, July 3, 2007 4:02:13 PM
Subject: RE: [HSF] Persistence of mammary branches and post CABG
angina:whichis the truth?

I tend to agree with Calafiore and others I am sure would to. 

Ahmed 

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Dr. Roberto
Battellini
Sent: Monday, July 02, 2007 3:31 AM
To: OpenHeart-L at lists.hsforum.com
Subject: AW: [HSF] Persistence of mammary branches and post CABG
angina:whichis the truth?

Well, you have the 4th case I read upon, another from Donald Ross, so I have
to believe it. 
Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Jorge
Rodriguez Campos
Gesendet: Freitag, 15. Juni 2007 17:17
An: OpenHeart-L at lists.hsforum.com
Betreff: Re: [HSF] Persistence of mammary branches and post CABG angina:
whichis the truth?

Dear Roberto:
                                I had a case who had 2 years post-op angina
with exercise, he had in angio a large lateral thoracic ima branch, he was
cured wend a ima branch embolised.- 
                                                   Dr. Jorge Rodriguez
Campos

"Dr. Roberto Battellini" <battr at medizin.uni-leipzig.de> escribió:

Dear Members,
I am revisiting this subject. There are some case reports telling it is
truth, but Calafiore insists in the diastolic flow through the IMA and
systolic through the branches, so physiologically could not happen.
I have the literature from ctsnet.org, what I want is the personal
experience and scientific thoughts from our members. EBA, for example,
hallo, Tea.. (or literature "not-ctsnet")
Roberto

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