The current trend in coronary artery surgery is to revascularize the left coronary artery branches with bilateral internal thoracic arteries (ITA). For this procedure, the right ITA is usually grafted to the left anterior descending coronary artery while the circumflex coronary artery is revascularized by the left ITA. The mid to long-term results of the left ITA on the circumflex system were e...

From 1984 to 1987, 537 consecutive patients (mean age 58 years; range 34 to 79) underwent angioplasty for proximal left anterior descending coronary artery disease. The procedure was clinically successful in 516 (96.1%). Procedural complications included myocardial infarction (2.2%; Q wave 0.9%, non-Q wave 1.3%), in-hospital bypass surgery (3%) and death (0.4%). Follow-up was obtained in 534 pa...

to lack of improvement, she was transferred for rescue percutaneous coronary intervention. Successful percutaneous coronary intervention was performed on the left anterior descending artery, although persisting slow flow was noted (Figs. 1B and 1C, Online Video 1). Diffuse narrowing of the distal left anterior descending artery was also observed, suggesting external compression of the vessel. T...

a 56-year-old man with a two year history of chronic stable angina underwent elective coronary artery bypass grafting (cabg) due to angiographic report of three vessel disease and tight stenosis at proximal part of left anterior descending artery (lad). while harvesting of radial artery (ra), the distal half of radial artery was found to bifurcate to two parallel branches with equal size. we us...

BACKGROUND To determine impact of intraluminal-left anterior descending shunt to prevent myocardial damage in minimally invasive coronary artery bypass. METHODS 38 patients were randomly assigned to external tournique occlusion (n = 19) or intraluminal-left anterior descending shunt group (n= 19). Blood samples for cardiac troponin T were collected at 30 minutes prior to, 6 and 24 hours after...

Fistulous communication from the coronary artery to the left ventricle (LV) is extremely rare and has received little attention in the literature. Moreover, a case of coronary artery fistula (CAF) from a diagonal branch of the left anterior descending coronary artery to the LV has been reported only once in the literature. Herein, we report a case of CAF from a diagonal branch of the left anter...

OBJECTIVES Trends in coronary bypass surgery require less invasive techniques and more conduits. We investigated the ability of direct coronary perfusion from the left ventricle to support regional and global cardiac function. METHODS A conduit was established between the left ventricle and left anterior descending coronary artery (n = 6) with an interposed Starling resistor that allowed for ...