Endarterectomy, vein patch, and mammary bypass of the anterior descending artery
- PMID: 1953152
- DOI: 10.1016/0003-4975(91)91314-l
Endarterectomy, vein patch, and mammary bypass of the anterior descending artery
Abstract
Occasionally the left anterior descending (LAD) coronary artery contains such diffuse calcific atherosclerosis that an area suitable for distal anastomosis with the internal mammary artery (IMA) cannot be found. Additionally, the LAD of some patients contains multiple areas of stenosis, which would prevent free outflow from the IMA graft. In these cases the potentially increased operative risk of LAD endarterectomy is justified to avoid leaving poorly revascularized areas of anteroseptal heart. In an effort to provide the long-term patency benefits of IMA grafting for these patients without the technical difficulty of a lengthy IMA to LAD anastomosis, we have combined saphenous vein patch reconstruction with IMA bypass when LAD endarterectomy is required.
Comment in
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Open coronary endarterectomy, saphenous vein patch reconstruction, and internal mammary artery grafting.Ann Thorac Surg. 1992 Jun;53(6):1151-2. doi: 10.1016/0003-4975(92)90422-z. Ann Thorac Surg. 1992. PMID: 1596153 No abstract available.
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