Avoiding tension in left internal mammary artery to left anterior descending coronary artery anastomosis during coronary artery bypass graft surgery
نویسندگان
چکیده
BACKGROUND The left internal mammary artery (LIMA) to left anterior descending coronary artery (LAD) graft is the most important graft in coronary artery bypass graft surgery.1 The length of the LIMA is fixed and situations may arise when this is inadequate.2 This may not be apparent during the cardiopulmonary bypass until after the anastomosis has been performed and the lungs re-expanded. We describe a technique to reduce the tension on the LIMA to LAD anastomosis in such situations.
منابع مشابه
Bilateral internal mammary arteries: a new trick for coronary artery bypass grafting.
I read with interest the article in the April 2012 edition by Grau et al. I congratulate Grau et al. [1] for an excellent study. It will be interesting to know how both internal mammary arteries were used—either in situ or as y graft. In spite of the established superiority of left internal mammary artery graft, the use of the bilateral internal mammary artery has not gained popularity. In rece...
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[email protected] The use of the left internal mammary artery (LIMA) is preferred for the revascularization of a stenosed or occluded left anterior descending artery (LAD). Occlusion or stenosis of proximal part of the left subclavian artery (LSA) could induce reverse blood flow in LIMA called coronary subclavian steal syndrome (CSSS) and should be revascularized before coronary artery bypass ...
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