Korean J Thorac Cardiovasc Surg.
2005 Jul;38(7):504-506.
Coronary Artery Bypass Graft (CABG) for Intracavitary Coronary Artery Disease: A case report
- Affiliations
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- 1Department of Thoracic & Cardiovascular Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea. yt55.lee@samsung.com
Abstract
- Intracavitary coronary artery is variant anomalous entrance to right ventricular cavity of left anterior descending artery. Since the disease is extremely rare, there has not been any report of it in Korea and is only found in 0.2 ~0.3% of all CABG patients. It is very difficult to be diagnosed by preoperative coronary arteriography (CAG) and secure suture is needed for right ventriculotomy after CABG due to bleeding from right ventricle. Horizontal mattress suture with pledget has been recommended but, it could compress the myocardium surrounding ventriculotomy and result in disturbed flow of left anterior descending artery branch and perforating artery. So we used simple interrupted suture and the patient was recovered as other CABG patients without complications.
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