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Free Right Internal Thoracic Artery in a “Horseshoe” Configuration: A New Technical Approach for “In Situ” Conduit Lengthening
Author(s) -
Zeitani Jacob,
Penta de Peppo Alfonso,
Scafuri Antonio,
Versaci Francesco,
Chiariello Luigi
Publication year - 2005
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.1540-8191.2005.00128.x
Subject(s) - medicine , electrical conduit , horseshoe (symbol) , anatomy , engineering , computer science , programming language , mechanical engineering
Severe chronic obstructive pulmonary disease with large lung volumes may prevent both the “in situ” internal thoracic arteries to reach coronary anastomoses sites. We present a method to revascularize the left antero‐lateral myocardial wall using the right internal thoracic artery as a “free graft” anastomosed side to end to the “in situ” left internal thoracic artery, in a “horseshoe” fashion. The two ends of the “free graft” were anastomosed to the left anterior descending coronary artery and the second obtuse marginal branch, respectively. This method was successfully used in a 74‐year‐old patient with severe chronic obstructive pulmonary disease.