Embedded Left Anterior Descending Artery During Coronary Bypass Operations: A 15-year Experience

Background Revascularisation of the left anterior descending coronary artery (LAD) is the most important part of coronary artery bypass grafting (CABG) operations. We analysed the results of CABG in patients with embedded LADs compared to age and gender-matched controls. Methods Among 4,102 patients...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2015-11, Vol.24 (11), p.1118-1125
Main Authors: Kızıltan, H. Tarık, MD, Salihi, Salih, MD, İdem, Aslı, MD, Pekedis, Alaaddin, MD
Format: Article
Language:English
Subjects:
Aged
Cardiac anatomy/pathologic anatomy
Cardiovascular
Coronary Artery Bypass - methods
Coronary artery bypass grafts/ CABG
Coronary Vessels - surgery
Embedded left anterior descending coronary artery/LAD
Female
Follow-Up Studies
Humans
Male
Middle Aged
Retrospective Studies
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Summary:Background Revascularisation of the left anterior descending coronary artery (LAD) is the most important part of coronary artery bypass grafting (CABG) operations. We analysed the results of CABG in patients with embedded LADs compared to age and gender-matched controls. Methods Among 4,102 patients undergoing primary on-pump CABG from January, 1999, through April, 2014, 92 had embedded LADs. Direct dissection (n= 19) or retrograde probe technique (n= 73) was utilised to expose the LAD. Controls had epicardial courses of the LAD. A retrospective study was performed and follow-up information was obtained. Results Cross clamp and cardiopulmonary bypass times were longer (63.5 ± 8.5 vs. 46.6 ± 20, p
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2015.04.180