SequentiaI RevascuIarization of Intramuscular Left Anterior Descending Coronary Artery |
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| Authors: | Kaya Suzer MD Cem Yorgancioglu MD Serdar Gunaydin MD Hilmi Tokmakoglu MD |
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| Institution: | Department of Thoracic and Cardiovascular Surgery, Bayindir Medical Center, Ankara, Turkey |
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| Abstract: | A bstract 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. |
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