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Doctor insights on: Internal Thoracic Artery Skeletonized

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Could the internal thoracic artery be skeletonized?

Could the internal thoracic artery be skeletonized?

Yes: During a coronary artery bypass procedure, the mammary artery is taken down from the chest wall. 2 methods are used, . Skeletonized artery, the artery is carefully dissected and mobilized. Pedicle, a full pedicle of surrounding tissue is mobilized along with the artery. ...Read more

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Dr. Oscar Novick
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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Could competitive flow reduce internal thoracic artery graft patency?

Could competitive flow reduce internal thoracic artery graft patency?

Absolutely: It can happen. If the vessel that is bypassed has significant flow, the mammary artery can fail. ...Read more

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Arteriosclerotic internal carotid & vertebro basilar arteries predominantly the left vertebrobasilar segment appearing tortuous with slight prominence?

Arteriosclerotic internal carotid & vertebro basilar arteries predominantly the left vertebrobasilar segment appearing tortuous with slight prominence?

Vertrebrobasilar: Were you started on full anticoagulation (warfarin/coumadin)? If so the bleeding gums could be secondary to therapy. The vertebrobasilar arterial blockage cannot be repaired surgically.You might be experiencing: dizziness, loss of balance, and incoordination. ...Read more

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Could bilateral internal thoracic artery grafting increase surgical risk?

Could bilateral internal thoracic artery grafting increase surgical risk?

Not always : There is some evidence that in diabetic patients it can increase the risk of eternal wound infections. Not in non diabetics. This increase risk in diabetics has been debated and there is some recent data suggesting that it may not be true. ...Read more

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MRI =Mild" thickening of heart muscle not HOCM.Tortuous descending aorta. Aberrant right subclavian artery which courses posterior to the trachea. ??

MRI =Mild" thickening of heart muscle not HOCM.Tortuous descending aorta. Aberrant right subclavian artery which courses posterior to the trachea. ??

Mild thickening's OK: See my comment to your previous post regarding the other findings (tortuous aorta, subclavian artery). The mild thickening of the heart muscle is common, and not necessarily from HCM. It could be the effects of long-standing hypertension. Keeping ur BP low with a -pril or a -sartan (Enalapril, Valsartan, etc.) could even reverse the thickening of the heart. Thanks 4 ur question on HealthTap, & GL! ...Read more

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Normal Carotid Doppler Studies.1- Right ICA encircling the Internal carotic artery. 2- Complex mass in the right thyroid lobe. History Neck cancer.

Normal Carotid Doppler Studies.1- Right ICA encircling the Internal carotic artery. 2- Complex mass in the right thyroid lobe. History Neck cancer.

Thyroid ultrasound: You need a neck ultrasound to fully evaluate the thyroid. Possibly will need a fine needle biopsy if the complex mass is big enough. The first thing is to fully evaluate the neck with an ultrasound. ...Read more

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Heart enlarged tortuosity of the thoracic aorta ?

Heart enlarged tortuosity of the thoracic aorta ?

Enlarged heart: It is better you have it looked at it by a Cardiologist. This sounds like a Xray finding. Heart size could be better evaluated by other nonivasive testings like echocardiogram. ...Read more

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Arterior cervical spine surgery at china?

Arterior cervical spine surgery at china?

Done in China: Medical vacations are when persons seek care outside there country usually to save on costs. China has several centers that offer excellent care. ...Read more

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Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Focus on risks: Mild and diffuse atherosclerosis at age 46 implies a need to focus on risk factor modification to achieve primary prevention of stroke and enhance vascular protection. Optimize lipids, avoid smoking, cand control sugar and BP issues. ...Read more

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MRI vertebrobasilar hypoplasia right side theres robust flow void anastomosing the basilar artery w cavernous portion of internal carotid artery/mean?

MRI vertebrobasilar hypoplasia right side theres robust flow void anastomosing the basilar artery w cavernous portion of internal carotid artery/mean?

Normal variant: The arteries at the base of the brain can course in several different patterns but ultimately get the job done, that is, supply brain tissue. Your pattern is like your fingerprint. Some more unusual patterns have an increased association with aneurysms, but this would have likely been described if present and vertebro basilar hypoplasia, as in the picture, is pretty common. ...Read more

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What's the difference between thoracic aortic aneurysms and tortuous aorta?

Diameter: Aneurysm 2x normal size of native aorta. Tortuous regards to the course of the vessel. Ectasia refers to enlarged vessel but less than twice normal. Arteriomegaly-large arteries, not aneurysmal. ...Read more

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My recent thoracic MRI for scoliosis shows right-sided aortic arch& right-sided descending thoracic aorta..possible congenital heart dis. Can u die ?

My recent thoracic MRI for scoliosis shows right-sided aortic arch& right-sided descending thoracic aorta..possible congenital heart dis.  Can u die ?

Chill out: If you lived to the ripe age of 31 before finding out you had this anomaly, you will likely live a full life without problems. The process is likely a "laterality sequence". This originates early in fetal formation. Those with bad heart defects show up early in life. You need further study, and consultation with a geneticist. The worst of these is more common in males. ...Read more

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1. Ct scan shows 30% stenosis in the proximal vessel, 30-50% stenosis in the mid-vessel in left anterior descending artery. What procedure is needed?

1.  Ct scan shows 30% stenosis in the proximal vessel, 30-50% stenosis in the mid-vessel in left anterior descending artery. What procedure is needed?

Depends.: Depends upon symptoms and any preceding tests you may have done. If you have no symptoms I am not sure you need anything other than aggressive risk reduction. Possibly could have a chemical stress test done. Should consult with your cardiologist. ...Read more

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Can surgeons fix an 80% narrowing of the left subclavian artery?

Can surgeons fix an 80% narrowing of the left subclavian artery?

Most likely: Either by anstent placement via wires and catheters, or open surgical bypass. ...Read more

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