title: Sequential revascularization of intramuscular left anterior descending coronary artery.
abstract: We present a new technique for avoiding possible kinking or angulation of the sequential left internal mammary artery to left anterior descending artery (LIMA-LAD) anastomoses when the LAD follows an intramuscular course. A 3- to 5-mm cusp of saphenous vein segment is interposed between the intramuscular LAD segment and internal mammary artery (IMA) at the sequential anastomotic site, to which the distal portion of the IMA was anastomosed in standard end-to-side fashion.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Bayindir Medical Center, Ankara, Turkey.
authors.forename: K
authors.initials: K
authors.lastname: Suzer
authors.forename: C
authors.initials: C
authors.lastname: Yorgancioglu
authors.forename: S
authors.initials: S
authors.lastname: Gunaydin
authors.forename: H
authors.initials: H
authors.lastname: Tokmakoglu
mesh_terms: D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D014680:Veins / Q000637:transplantation*