Improvement of Myocardial Perfusion After Transmyocardial Laser Revascularization and Coronary Artery Bypass Graft Surgery

A69 -year-old man with severe angina had severe 3-vessel disease by coronary angiography. At the time of coronary revascularization, he had left internal mammary artery implantation to the left anterior descending artery, a vein graft to the diagonal branch, and a vein graft to the marginal branch of the left circumflex artery. Transmyocardial laser revascularization was performed in the territory of the right coronary artery (because of poor distal runoff) with a xenon chloride excimer laser (under an investigational device exemption sponsored by United States Surgical Corp). The postoperative course was uneventful. …