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Sequential revascularization of intramuscular left anterior descending coronary artery
K Suzer1, C Yorgancioglu, S Gunaydin
1Department of Thoracic and Cardiovascular Surgery, Bayindir Medical Center, Ankara, Turkey.
Journal of Cardiac Surgery
|October 6, 2000
Abstract:
We present a new technique for avoiding possible kinking or angulation of the sequential left internal mammary artery to left anterior descending artery (LIMA-LAD) anastomoses when the LAD follows an intramuscular course. A 3- to 5-mm cusp of saphenous vein segment is interposed between the intramuscular LAD segment and internal mammary artery (IMA) at the sequential anastomotic site, to which the distal portion of the IMA was anastomosed in standard end-to-side fashion.