Key result
A new surgical technique using a 3- to 5-mm saphenous vein cusp interposition avoids kinking or angulation in sequential LIMA-LAD anastomoses when the LAD has an intramuscular course.
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This technical report describes a novel surgical method using a saphenous vein cusp to prevent kinking in sequential LIMA-LAD anastomoses when the LAD has an intramuscular course.
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. (1985) studied Intramuscular left anterior descending coronary artery requiring revascularization. Interposition of a 3- to 5-mm cusp of saphenous vein segment between the intramuscular LAD and IMA was evaluated. A new surgical technique using a 3- to 5-mm saphenous vein cusp interposition avoids kinking or angulation in sequential LIMA-LAD anastomoses when the LAD has an intramuscular course.
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