J Card Surg. 2002 Sep-Oct;17(5):394-7.

Pedicled LIMA graft to the posterior coronary artery: which side to be anastomosed, dorsal or ventral?

Ozal E, Yilmaz AT, Oz BS, Gunay C, Tatar H.

Source

Department of Cardiovascular Surgery, Gulhane Military Medical Academy, Ankara, Turkey. ozal@tr.net

Abstract

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.

PMID:: 12630536; [PubMed - indexed for MEDLINE]

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