Proximal Internal Mammary In Situ Graft and Distal Coronary–Coronary Graft to Revascularize Left Anterior Descending Coronary Artery
AUTOR(ES)
Barboso, Guglielmo
RESUMO
When a left anterior descending coronary artery passes over the cardiac apex and presents with 2 stenoses, 1 proximal and 1 distal, the available bypass conduit often is too short to enable both the anastomosis below the distal stenosis and the sequential anastomosis on the arterial segment between the 2 stenoses. In this circumstance, we graft the internal mammary artery in situ onto the proximal segment of the left anterior descending coronary artery, then use a short residual segment of the internal mammary to perform a coronary–coronary bypass of the distal stenosis. This technique also spares segments of the internal mammary for other purposes. We present our experience, together with angiographic evidence of long-term patency.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=101026Documentos Relacionados
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