Prophylactic Left Internal Mammary Artery Graft In Mildly-Stenosed Coronary Lesions. Still An Open Discussion

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Prophylactic Left Internal Mammary Artery Graft In Mildly-Stenosed Coronary Lesions. Still an Open Discussion

It has been well established that coronary venous grafts in arteries with moderate atherosclerotic lesions (<70%) had early occlusion mainly due to flow competition with the native coronary circulation. Otherwise, to graft a moderately stenosed coronary vessel with LIMA remains debatable, keeping the question by Hayward and colleagues open: “Should all moderate coronary lesions be grafted durin...

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Avoiding tension in left internal mammary artery to left anterior descending coronary artery anastomosis during coronary artery bypass graft surgery

BACKGROUND The left internal mammary artery (LIMA) to left anterior descending coronary artery (LAD) graft is the most important graft in coronary artery bypass graft surgery.1 The length of the LIMA is fixed and situations may arise when this is inadequate.2 This may not be apparent during the cardiopulmonary bypass until after the anastomosis has been performed and the lungs re-expanded. We d...

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Left Internal Mammary Artery Graft-to-Pulmonary Artery Fistula

DOI: 10.5935/abc.20140160 An 80-year-old man was admitted to our hospital because of an acute coronary syndrome. He had undergone coronary artery bypass grafting (CABG) 12 years ago, which involved a left internal mammary artery (LIMA) graft to the left anterior descending coronary artery. Direct LIMA injection revealed an arteriovenous fistula between the distal portion of a grossly dilated LI...

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Direct stenting of a transradial left internal mammary artery graft.

Taking the transfemoral approach when performing a left internal mammary artery (LIMA) graft intervention is generally recognized as posing significant technical challenges. However, little has been reported on alternative transradial approaches to LIMA. In this report, we present our experience in a patient who had anastomosis-site LIMA graft stenosis and was successfully treated with direct s...

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Transthoracic Doppler echocardiography of the left internal mammary artery graft.

Assessment of the left internal mammary artery (LIMA) graft patency currently requires invasive investigation through coronary angiography. In the last years the successful application of noninvasive Doppler spectrum analysis has been reported for patency assessment of the LIMA graft after myocardial revascularization. Echocardiography is considered to be a sensitive noninvasive screening modal...

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ژورنال

عنوان ژورنال: Arquivos Brasileiros de Cardiologia

سال: 2016

ISSN: 0066-782X

DOI: 10.5935/abc.20160032