Korean J Thorac Cardiovasc Surg.
2003 Dec;36(12):995-998.
Easy Exposure of Invisible Left Anterior Descending Artery
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, School of Medicine, Wonkwang University, Korea. jobchoi@wonkwang.ac.kr
- 2Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University, Korea.
Abstract
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During coronary artery bypass surgery, there are several discrete maneuvers that facilitates localization of the invisible left anterior descending coronary artery. In some cases with intramyocardial left anterior descending artery, long-term patency of a bypassed graft may depend on anastomosing the internal mammary artery graft to the more proximal and superficial site of the intramyocardial left anterior descending artery. We describe an easy technique to locate the proximal superficial left anterior descending artery with a distal coronary arteriotomy and retrograde insertion of a coronary probe.