Key result
A new technique using a 3- to 5-mm saphenous vein cusp interposition avoids kinking of sequential LIMA-LAD anastomoses when the LAD follows an intramuscular course.
Why the study?
Does interposing a saphenous vein cusp prevent kinking of sequential LIMA-LAD anastomoses in patients with an intramuscular LAD?
Does interposing a saphenous vein cusp prevent kinking of sequential LIMA-LAD anastomoses in patients with an intramuscular LAD?
Describes a novel surgical technique using a saphenous vein cusp to prevent kinking during sequential LIMA-LAD anastomosis in patients with an intramuscular LAD.
Answers are grounded in this paper and cite their sources.
May facilitate anastomosis without kinking in intramuscular LAD; leaves open safety and durability pending prospective validation.
We present a new technique for avoiding possible kinking or angulation of the sequential left internal mammary artery to left anterior descending artery (LIMA-LAD) anastomoses when the LAD follows an intramuscular course. A 3- to 5-mm cusp of saphenous vein segment is interposed between the intramuscular LAD segment and internal mammary artery (IMA) at the sequential anastomotic site, to which the distal portion of the IMA was anastomosed in standard end-to-side fashion.
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Süzer et al. (2010) studied Intramuscular left anterior descending coronary artery requiring revascularization. Saphenous vein cusp interposition was evaluated. A new technique using a 3- to 5-mm saphenous vein cusp interposition avoids kinking of sequential LIMA-LAD anastomoses when the LAD follows an intramuscular course.
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