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.
Zeitani, J., Penta de Peppo, A., Scafuri, A., Versaci, F., Chiariello, L. (2005). 33.Free right internal thoracic artery in a "horseshoe" configuration: a new technical approach for "in situ" conduit lengthening. JOURNAL OF CARDIAC SURGERY, 20(6), 583-585 [10.1111/j.1540-8191.2005.00128.x].
33.Free right internal thoracic artery in a "horseshoe" configuration: a new technical approach for "in situ" conduit lengthening.
ZEITANI, JACOB;SCAFURI, ANTONIO;VERSACI, FRANCESCO;CHIARIELLO, LUIGI
2005-12-01
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
