A 47-year-old male patient with 3-vessel coronary artery disease underwent quadruple coronary artery bypass graft surgery (right internal mammary artery–right coronary artery [RIMA–RCA], left internal mammary artery–left anterior descending artery [LIMA–LAD], and radial artery– second posterolateral branch with jump anastomosis to the first posterolateral branch). Surgery was complicated by dif...

INTRODUCTION Treatment of lesions located in the proximal segment of the left anterior descending artery (pLAD), either with coronary artery bypass grafting (CABG) or percutaneous coronary intervention, in patients with diabetes mellitus has been associated with an unfavourable outcome. The aim of the present study was to compare the long-term clinical outcome of drug-eluting stents (DES) vs. C...

OBJECTIVES The techniques of performing coronary revascularization without cardiopulmonary bypass are rapidly evolving. However, concern remains regarding the accuracy of coronary artery anastomoses performed on the beating heart. This report reviews the use of intraoperative angiography in the critical appraisal of "off-pump" coronary artery bypass graft (CABG) surgery. PATIENTS Intraoperati...

BACKGROUND We describe the technical details and the preliminary results of a new surgical approach for multivessel disease that involves using a lower T sternotomy, grafting of the left internal mammary artery (LIMA) to the left anterior descending coronary artery (LAD) and use of the right internal mammary artery (RIMA) as inflow to the other vessels. OPERATIVE TECHNIQUE The sternotomy was ...

This study aims to (i) demonstrate the efficacy of a new surgical planning framework for complex cardiovascular reconstructions, (ii) develop a computational fluid dynamics (CFD) coupled multi-dimensional shape optimization method to aid patient-specific coronary artery by-pass graft (CABG) design and, (iii) compare the hemodynamic efficiency of the sequential CABG, i.e., raising a daughter par...

Renata B. de Oliveira, Ricardo J. Alves*, José Dias de Souza Filho and Maria Auxiliadora F. Prado Departamento de Química, Instituto de Ciências Exatas, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, 31270-200 Belo Horizonte MG, Brazil Departamento de Produtos Farmacêuticos, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Av. Olegário Maciel 2360, 30180-112 Belo Hor...

Bárbara D. L. Ferreira, Jaqueline M. Paulo, João P. Braga e Rita C. O. Sebastião* Departamento de Química, Instituto de Ciências Exatas, Universidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, 31270-901 Belo Horizonte – MG, Brasil Fabrício J. P. Pujatti Departamento de Engenharia Mecânica, Universidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, 31270-901 Belo Horizonte – MG, Brasil

OBJECTIVE The purpose of this study was to evaluate whether intracoronary shunt usage reduced the myocardial damage on the basis of the cardiac markers when compared with the shuntless anastomosis in off-pump coronary artery bypass grafting (OPCABG) surgery of isolated left anterior descending artery lesions. METHODS Forty patients who had stable angina with isolated left anterior descending ...