title: Coronary artery surgery in a patient with grossly emphysematous lung.
abstract: The pedicled left internal thoracic artery graft is the mandatory conduit in coronary artery bypass surgery. A grossly emphysematous lung may sometimes present a significant problem for positioning of the pedicled left internal thoracic artery conduit. An inverted pedicled left internal thoracic artery graft (internal thoracic artery transected near its origin, thus supplied by retrograde flow from superior epigastric and musculophrenic arteries) might occasionally be the conduit of choice for those patients.
authors.affiliation: Department of Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia.
authors.forename: Dusko
authors.initials: D
authors.lastname: Nezic
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Bojovic
authors.forename: Vladimir
authors.initials: V
authors.lastname: Kecmanovic
authors.forename: Mladen
authors.initials: M
authors.lastname: Boricic
authors.forename: Petar
authors.initials: P
authors.lastname: Milacic
authors.forename: Ljiljana
authors.initials: L
authors.lastname: Lausevic-Vuk
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D008297:Male; D011656:Pulmonary Emphysema / Q000150:complications* / Q000175:diagnosis; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Coronary artery bypass; coronary disease; internal mammary-coronary artery anastomosis; lung diseases; mammary arteries; obstructive