Diffuse atherosclerosis of the anterior descending artery may require unconventional surgical treatment to increase graft flow. A 74-year-old man with severe, diffuse 3-vessel-coronary artery disease was presented to our institution with progredient angina pectoris symptoms. Intraoperatively, the revascularization of the left anterior descending coronary artery (LAD) was technically challenging...

BACKGROUND Previous work showed a twofold increase in stiffness of nonischemic myocardium at the base during ischemia of the left anterior wall. Whether the diastolic response of nonischemic myocardium to remote ischemia depends on the localization of the ischemic or the nonischemic area is unknown. METHODS In dogs with open chests, regional function in ischemic and nonischemic myocardium was...

We sought to investigate the effects of the left internal mammary artery anastomosed to the left anterior descending artery for improving mid-term outcome in patients with severe left ventricular dysfunction. Twenty consecutive coronary artery bypass grafts performed by a single surgeon for less than 35% ejection fraction patients were reviewed retrospectively from April 2000 to November 2008. ...

Coronary arteriography of a-72-year-old woman revealed prominent aneurysms of left main coronary, left anterior descending and right coronary arteries with a fistula from the left and right coronary systems draining into the right ventricular intramural hemangioma (Figs. 1 and 2). Fig. 1. Aneurysms of left main trunk and left anterior descending artery with normal appearance of circumflex arter...

Resting 12-lead electrocardiographic records from 849 patients who underwent coronary cineangiographic studies were reviewed for U wave negativity without knowledge of the clinical data or angiographic results. In order to evaluate U wave negativity as an independent electrocardiographic sign, patients with significant Q waves in the anterior leads were excluded from the final data analysis lea...

We report a case of a patient in whom collateral flow originating from the left anterior descending coronary artery was initially associated with a right coronary artery stenosis; seven months after successful angioplasty of the right coronary artery lesion, a severe left anterior descending stenosis developed and induced reversed collateral flow from the right coronary artery through the same ...