Study of histo-pathology of the right gastroepiploic artery for using coronary artery bypass grafting in Cho Ray hospital

Doan Van Phung, Tran Tien Quyet

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Abstract

The mean of RGEA’s length was 23,9 ± 3,3 cm. The mean of lumen diameter at the most distal anastomosis was 1,85 ± 0,69 μm; mean width of intima 70,1 ± 40 μm; mean width of media 210,5 ± 110,3 μm; mean wall thickness, 298,6 ± 121,3 μm. The mean number of elastic lamellae in the media was 4,3 ± 1,1. The mean number of discontinuities in the circumferential internal elastic lamina was 54 ± 10,8. The histopathological properties of RGEA included: intimal hyperplasia in 56 segments (75,7%), but most of segments were mild intimal hyperplasia 94,6%. The severe pathological properties of RGEA with atherosclerosis, arterial calcification were found very rare 3 segments (4,1%) and 2 segments (2,7%) respectively. The results of risk factors associated with histo-pathological properites analysis were recorded that the chronic obstructive pulmonary disease (COPD) was independently * Khoa HSPTT Trẻ em BV Chợ Rẫy ** BV Chợ Rẫy Người chịu trách nhiệm khoa học: PGS.TS. Trần Quyết Tiến Ngày nhận bài: 01/05/2018 - Ngày Cho Phép Đăng: 20/05/2018 Phản Biện Khoa học: GS.TS. Bùi Đức Phú PGS.TS. Đặng Ngọc Hùng PHẪU THUẬT TIM MẠCH VÀ LỒNG NGỰC VIỆT NAM SỐ 20 - THÁNG 5/2018 34 associated with atherosclerosis damage OR = 35; confident rate 95% ( 1,13 – 117) (p < 0,025).

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