Key result
Triple CABG with anomalous LM occlusion achieves patent grafts in an interarterial single coronary artery.
Case Report (n=1)
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Multimodality imaging and multidisciplinary Heart Team assessment are essential for defining anatomy and selecting a surgical strategy (such as CABG with anomalous vessel occlusion) to address concomitant obstructive coronary artery disease and high-risk congenital coronary anomalies.
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Radić et al. (2026) conducted a case report in Single coronary artery with interarterial left main course and 90% proximal right coronary artery stenosis (n=1). Triple coronary artery bypass grafting (LIMA-LAD, SVG-OM1, SVG-RCA) with surgical occlusion of the anomalous LM origin was evaluated on Postoperative graft patency and complete occlusion of the anomalous left main origin on pre-discharge coronary CT angiography. Triple CABG with surgical occlusion of the anomalous LM origin achieved patent grafts and complete LM occlusion in a 45-year-old woman with 90% RCA stenosis and an interarterial single coronary artery.
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