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10.5606/tgkdc.dergisi.2011.113
A new bridge bypass technique for multisegmental left anterior descending coronary artery disease
Arif Gücü, Tamer Türk, Yüksel Beşir, Önder T. Bozkurt, Orhan Rodoplu, Ömer Tetik
Department of Cardiovascular Surgery, Bursa Yüksek İhtisas Training and Research Hospital, Bursa
DOI : 10.5606/tgkdc.dergisi.2011.113
There is an increase in cases with complex, multisegmental
left anterior descending (LAD) coronary artery lesions
in coronary artery bypass graft (CABG) surgery. In these
cases, further reconstructive surgical procedures are needed
for complete revascularization. In four cases (3 males,
1 female, mean age 58±3.3 years) with multisegmental LAD
lesions, extra surgical intervention was employed to the
LAD artery in conjunction with standard coronary surgical
procedures between January 2008 and September 2010.
All cases presented with class 3 or 4 stable angina pectoris.
In all cases, the surgical procedure consisted of standard
cannulation followed by CABG under cardiopulmonary
bypass. In cases with complex multisegmental LAD lesions,
a short saphenous vein graft was bridged between the mid
and distal portions of the LAD as a new technique. The
prepared left internal mammarian artery was anastomosed to
this bridge which was created over the LAD. The remaining
coronary anastomoses were performed with the standard
technique. The postoperative period passed without any
problem in all patients. We believe that this is a successful
technique for providing complete revascularization in
patients with complex, multisegmental LAD lesions.
Keywords : Coronary heart surgery; left anterior descending coronary artery; multisegmental stenosis
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