Coronary artery surgery in a patient with grossly emphysematous lung

The pedicled left internal thoracic artery graft is the mandatory conduit in coronary artery bypass surgery. A grossly emphysematous lung may sometimes present a significant problem for positioning of the pedicled left internal thoracic artery conduit. An inverted pedicled left internal thoracic art...

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Veröffentlicht in:	Asian cardiovascular & thoracic annals 2014-03, Vol.22 (3), p.335-337
Hauptverfasser:	Nezic, Dusko, Bojovic, Zeljko, Kecmanovic, Vladimir, Boricic, Mladen, Milacic, Petar, Lausevic-Vuk, Ljiljana
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Coronary Angiography Coronary Occlusion - complications Coronary Occlusion - diagnosis Coronary Occlusion - surgery Humans Internal Mammary-Coronary Artery Anastomosis - methods Male Pulmonary Emphysema - complications Pulmonary Emphysema - diagnosis Severity of Illness Index Treatment Outcome
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Beschreibung
Zusammenfassung:	The pedicled left internal thoracic artery graft is the mandatory conduit in coronary artery bypass surgery. A grossly emphysematous lung may sometimes present a significant problem for positioning of the pedicled left internal thoracic artery conduit. An inverted pedicled left internal thoracic artery graft (internal thoracic artery transected near its origin, thus supplied by retrograde flow from superior epigastric and musculophrenic arteries) might occasionally be the conduit of choice for those patients.
ISSN:	0218-4923 1816-5370
DOI:	10.1177/0218492312469884