title: The use of off pump surgery for management of penetrating coronary artery injury.
abstract: 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 LAD coronary artery injury successfully treated with off pump coronary revascularisation.
authors.affiliation: Bristol Heart Institute, Bristol Royal Infirmary, Bristol BS2 8HW, UK.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Narayan
authors.forename: Massimo
authors.initials: M
authors.lastname: Caputo
authors.forename: Maya
authors.initials: M
authors.lastname: Roidl
authors.forename: Roberto
authors.initials: R
authors.lastname: Casula
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013908:Thoracotomy; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery