NDLI: Revascularization of left anterior descending (LAD) artery with in situ left internal thoracic artery (LITA) and coronary-coronary free LITA grafts: 12-year patency.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Omay, Oguz Ozker, Emre Indelen, Cenk Suzer, Kaya
Description	Country affiliation: Turkey Author Affiliation: Omay O ( Department of Cardiovascular Surgery, Baskent University, Istanbul, Turkey.)
Abstract	BACKGROUND: We aim to present a patient with coronary-coronary bypass grafting (CCBG), left anterior descending-left anterior descending (LAD-LAD) coronary artery bypass with left internal thoracic artery (LITA), and provide the 12-year follow-up angiogram to confirm the longest reported patency. METHODS AND RESULTS: A 57-year-old man with three vessel disease where LAD had multiple lesions was operated on. LITA with pedicle was grafted in situ onto the proximal LAD, and the distal residual segment was used as a free LITA graft to bypass the distal stenosis. The postoperative course was uneventful. The patient has been recently readmitted to our clinic with atypical chest pain. In angiography, all of the bypasses, including the free LITA graft, were patent. CONCLUSIONS: We used free LITA graft to bypass the distal lesions of LAD in selected patients as a valid alternative to sequential bypass grafting. To the best of our knowledge, this is the only angiographic view of a CCBG in LAD with LITA graft confirming the long-term patency.
File Format	HTM / HTML
ISSN	08860440
Issue Number	6
Volume Number	23
e-ISSN	15408191
Journal	Journal of Cardiac Surgery
Language	English
Publisher	Wiley
Publisher Date	2008-11-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Cardiology Discipline Surgery Coronary Artery Bypass Coronary Vessels Pathology Surgery Mammary Arteries Myocardial Revascularization Vascular Patency Angina, Unstable Humans Male Middle Aged Mitral Valve Insufficiency Time Factors Transplants Ultrasonography Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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