Dear Editor, Coronary artery bypass grafting (CABG) is an established revascularisation treatment for patients with coronary artery disease (CAD). However, the graft patency rate varies significantly among different bypass graft conduits. Ten years after CABG, more than 90% of the left internal mammary artery (LIMA) grafts are patent1 but the patency rate of saphenous vein grafts (SVGs) ranges ...

Objectives: To investigate in a retrospective study the technical aspects of using the in situ bilateral internal mammary arteries (IMAs), with the right IMA (RIMA) used for revascularisation of the circumflex system, and to evaluate early and late outcome. Materials and methods: Between January 1997 and July 2003, 552 consecutive patients underwent grafting of the circumflex artery system with...

OBJECTIVE To evaluate the effects of chronic coronary occlusion on the accuracy of low dose dobutamine echocardiography in predicting recovery of dysfunctional myocardium after revascularisation. DESIGN Retrospective study. SETTING Tertiary referral centre. PATIENTS 53 consecutive patients with >/= 70% stenosis of the left anterior descending coronary artery (LAD) and regional ventricular...

OBJECTIVE To evaluate the appropriateness of referral following coronary angiography in Sweden. DESIGN Prospective survey and review of medical records. PATIENTS Consecutive series of 2767 patients who underwent coronary angiography in Sweden between May 1994 and January 1995 and were considered for coronary revascularisation. MAIN OUTCOME MEASURES Percentage of patients referred for coro...

In patients with coronary artery disease, one of the most powerful determinants of prognosis is left ventricular function. 2 Thus, if we assume that the prognostic benefit of revascularisation is mediated through an eVect on left ventricular function, two mechanisms might explain this benefit. First, coronary artery bypass surgery or angioplasty could reduce the impact of coronary artery diseas...

For patients with multivessel coronary artery disease there are two options for revascularisation: Percutaneous coronary intervention (PCI) or Coronary Artery Bypass Graft Surgery (CABG). In daily clinical practice, a heart team consisting of an interventional cardiologist and a cardiothoracic surgeon decide on the most appropriate mode of revascularization. The current European guidelines on m...

BACKGROUND: There is little information about blood supply of the carpal joint in one- humped camel, while there is extensive data about cow and equine species. In order to perform surgeries and diagnostic techniques in carpal region, information about the elements of the joint such as its arteries is necessary. OBJECTIVES: This study aims at describing the origins, arrangements, and branches o...

INTRODUCTION AND OBJECTIVES The advisability of implanting a stent in carotid near-occlusion stenosis is a controversial topic. We have assessed procedural and clinical implications of stent implantation for carotid artery disease with near occlusion. METHODS We included 205 patients who underwent carotid artery revascularisation with a stent. The group of patients with near-occlusion stenosi...

Penetrating trauma to the chest leading to coronary artery injury is associated with a high mortality rate, especially in the case of injury to the left anterior descending (LAD) coronary artery. The mortality rate remains high whether they are managed with primary ligation or with coronary artery bypass grafting using conventional cardiopulmonary bypass techniques. We report a case of proximal...

Only 12 cases of coronary artery to left atrium fistula have been reported, with successful correction in at least seven. We describe a unique case of repair of a left main coronary artery to left atrium fistula using revascularisation with general discussion of the embryology, pathophysiology, complications, and diagnosis of these fistulae, indications for operation, and guidelines for surgica...