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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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Anastomosis of small arteries: implications for coronary artery grafts in Asians

Reida M El Oakley1, Chuen Neng Lee, Oon Cheong Ooi

  • 1Heart Centre, King Fahd Medical City, PO Box 59046, Riyadh 11525, Kingdom of Saudi Arabia. surrmo@nus.edu.sg

Asian Cardiovascular & Thoracic Annals
|March 23, 2006
PubMed

The internal mammary artery (IMA) in patients with small body surface area, frequently found in the Asian population, is often small and delicate and can be easily damaged during suturing, particularly at the "toe" of the anastomosis. This may lead to less frequent utilization of the IMA as a bypass conduit. We describe a technique for anastomosing a small-caliber IMA to a coronary artery, using the tip of the graft as an autologous buttress to reinforce the toe of the anastomosis.

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