title: Pedicled LIMA graft to the posterior coronary artery: which side to be anastomosed, dorsal or ventral?
abstract: It has not clearly been defined in the literature which side of the pedicled LIMA graft should be anastomosed to the posterior coronary arteries. Using the ventral side of pedicled LIMA graft causes an 180 degree torsion of the pedicle. Sometimes this torsion may cause reduction or cessation of LIMA flow as we have seen in two of our patients. In this paper we point out that using the dorsal side of the pedicled LIMA graft for anastomosis to the posterior coronary arteries is helpful.
authors.affiliation: Department of Cardiovascular Surgery, Gulhane Military Medical Academy, Ankara, Turkey. ozal@tr.net
authors.forename: Ertugrul
authors.initials: E
authors.lastname: Ozal
authors.forename: Ahmet Turan
authors.initials: AT
authors.lastname: Yilmaz
authors.forename: Bilgehan Savas
authors.initials: BS
authors.lastname: Oz
authors.forename: Celalettin
authors.initials: C
authors.lastname: Gunay
authors.forename: Harun
authors.initials: H
authors.lastname: Tatar
mesh_terms: D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome