title: [Coronary artery bypass grafting to the left circumflex artery in the atrioventricular groove].
abstract: Coronary artery bypass graftings were performed to the left circumflex artery (LCX) system in the atrioventricular groove (#11 or #13) in addition to revascularization to the left anterior descending artery system using conventional technique in 10 patients with left main trunk lesion. Distal anastomosis was done at #11 of LCX in 6 patients using saphenous vein graft, and at #13 of LCX in 4 patients using 2 saphenous vein grafts and using 2 internal thoracic artery grafts. The mean flow rate of SVG operated by this technique showed larger values than that of SVGs by sequential bypass or individual bypass technique to #12 and/or #14 of LCX. Postoperative angiographies showed excellent graft patencies and symptomatic improvements were achieved. This technique of coronary artery revascularization is recommended and useful in patients whose #12 and #14 of LCX system is too small to make distal anastomosis.
authors.affiliation: Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Akiyama
authors.forename: J
authors.initials: J
authors.lastname: Hirota
authors.forename: A
authors.initials: A
authors.lastname: Ohkado
authors.forename: Y
authors.initials: Y
authors.lastname: Takazawa
authors.forename: H
authors.initials: H
authors.lastname: Yamanishi
authors.forename: T
authors.initials: T
authors.lastname: Akazawa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation; D013895:Thoracic Arteries / Q000637:transplantation; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000379:methods*