Left upper lobectomy in a patient with a history of Left Internal Mammary Artery (LIMA) graft for Coronary Artery Bypass Graft surgery (CABG) is a challenge for the surgical team. The adhesion formation in the left chest, especially around the left internal mammary artery graft, may cause diffculty for surgery. The injury of LIMA during dissection may lead to serious acute myocardial ischemia a...

Data on the treatment of left anterior descending artery (LAD) stenosis involving or localized distally to left internal mammary artery anastomosis are scarce and not homogeneous. Both surgery (CABG) and percutaneous interventions (PCI) have been attempted, but the most effective treatment has not yet been established. We report a case of a 54-year-old woman suffering from chronic, stable angin...

Percutaneous transluminal angioplasty via the femoral approach was attempted through internal mammary artery grafts in 11 patients who presented with distal anastomotic stenoses or distal native coronary artery stenoses and angina pectoris. The procedure was technically successful in 10 patients and no major complications occurred. During follow up there was one late death, but all 10 surviving...

Background: Anomalous origin of the right coronary artery from left sinus Valsalva (ARCA) is a rare anomaly. Surgery recommended in symptomatic patients, while optimal surgical approach controversial.
 Case presentation: We present case an ARCA 56-year-old male who was managed with bypass grafting using internal mammary and ligation proximal artery. The patient remained asymptomatic after ...

Anomalous origin of the right coronary artery: right internal thoracic artery of the right coronary artery bypass is not the answer. Minimally invasive direct coronary artery bypass – a surgical approach for anomalous right coronary artery from left aortic sinus of Valsalva. Anomalous right or left coronary artery from the contralateral coronary sinus: " high-risk " abnormalities in the initial...

We describe the case of a 64-year-old man with severe symptomatic aortic stenosis and a history of hypertension, diabetes, renal failure, peripheral arterial disease, pulmonary hypertension, moderate mitral regurgitation, ventricular dysfunction, carotid stenosis, and prior surgical coronary revascularization (internal mammary artery to the left anterior descending artery, radial to the obtuse ...