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- Title
Free Right Internal Thoracic Artery in a “Horseshoe” Configuration: A New Technical Approach for “In Situ” Conduit Lengthening.
- Authors
Zeitani, Jacob; Penta de Peppo, Alfonso; Scafuri, Antonio; Versaci, Francesco; Chiariello, Luigi
- Abstract
Severe chronic obstructive pulmonary disease with large lung volumes may prevent both the “in situ” internal thoracic arteries to reach coronary anastomoses sites. We present a method to revascularize the left antero-lateral myocardial wall using the right internal thoracic artery as a “free graft” anastomosed side to end to the “in situ” left internal thoracic artery, in a “horseshoe” fashion. The two ends of the “free graft” were anastomosed to the left anterior descending coronary artery and the second obtuse marginal branch, respectively. This method was successfully used in a 74-year-old patient with severe chronic obstructive pulmonary disease.
- Subjects
THORACIC arteries; ARTERIAL surgery; OBSTRUCTIVE lung diseases; BLOOD vessels; MEDICINE
- Publication
Journal of Cardiac Surgery, 2005, Vol 20, Issue 6, p583
- ISSN
0886-0440
- Publication type
Article
- DOI
10.1111/j.1540-8191.2005.00128.x