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Pedicled LIMA Graft to the Posterior Coronary Artery: Which Side to be Anastomosed, Dorsal or Ventral?
Author(s) -
Özal Ertugrul,
Yilmaz Ahmet Turan,
Oz Bilgehan Savas,
Gunay Celalettin,
Tatar Harun
Publication year - 2001
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2001.tb01165.x
Subject(s) - medicine , anastomosis , dorsum , anatomy , surgery , coronary arteries , artery , torsion (gastropod)
A bstract It has not clearly been defined in the literature which side of the pedicled LIMA graft should be anastomosed to the posterior coronary arteries. Using the ventral side of pedicled LIMA graft causes an 180 degree torsion of the pedicle. Sometimes this torsion may cause reduction or cessation of LIMA flow as we have seen in two of our patients. In this paper we point out that using the dorsal side of the pedicled LIMA graft for anastomosis to the posterior coronary arteries is helpful.