PMID- 16107010
OWN - NLM
STAT- MEDLINE
DCOM- 20051028
LR  - 20190922
IS  - 0025-8105 (Print)
IS  - 0025-8105 (Linking)
VI  - 57
IP  - 11-12
DP  - 2004 Nov-Dec
TI  - [In situ pedicle graft and coronary-coronary bypass grafting using internal 
      thoracic artery in management of multiple lesions of the left anterior descending 
      coronary artery].
PG  - 601-4
AB  - INTRODUCTION: Nowadays, coronary-coronary bypass grafting (CCBG) has been applied 
      in patients with heavily calcified ascending aorta or due to lack of graft 
      material. CASE REPORT: We describe a case in which the patient's large left 
      anterior descending (LAD) coronary artery, running well over the cardiac apex, 
      presented with proximal and distal stenosis. Although the pedicled left internal 
      thoracic artery (ITA) graft is sometimes too short for sequential bypass in cases 
      of distal stenosis of the LAD coronary artery, we used a free, short segment of 
      the pedicled left ITA for coronary-coronary bypass grafting. The in situ remnant 
      of the left pedicled ITA was used to bypass the proximal LAD stenosis. The 
      patient's postoperative course was uneventful. Predischarge angiogram (on the 9th 
      postoperative day) showed an in situ left ITA graft as well as afree 
      coronarycoronary ITA graft. The patient had a regularfollow-up after 3 months, 
      and was classified as New York Heart Association (NYHA) class I. DISCUSSION: 
      Primarily used in aorto-coronary bypass surgery (termino-terminal interposition 
      of the saphenous vein between two parts of a resected coronary artery), CCBG was 
      revised latter on, and from hemodynamic point of view the physiologic restoration 
      of coronary blood flow has been confirmed CCBG might be an attractive approach 
      for bypassing distal lesions of large coronary arteries (combined with arterial 
      or venous grafting of targeted arteries, if proximal stenoses are also present). 
      The proximal remnant of ITA can be used as an in situ or free graft.
FAU - Nezic, Dusko
AU  - Nezic D
AD  - Institut za kardiovaskularne bolesti Dedinje, Beograd.
FAU - Knezevic, Aleksandar
AU  - Knezevic A
FAU - Cirkovic, Milan
AU  - Cirkovic M
FAU - Jovic, Miomir
AU  - Jovic M
FAU - Mangovski, Ljupco
AU  - Mangovski L
FAU - Milojevic, Predrag
AU  - Milojevic P
LA  - srp
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
TT  - In situ pedikularni graft i koronaro-koronarni slobodan graft interne torakalne 
      arterije kod multiplih lezija leve prednje silazne koronarne arterije.
PL  - Serbia
TA  - Med Pregl
JT  - Medicinski pregled
JID - 2985249R
SB  - IM
MH  - Coronary Artery Bypass/*methods
MH  - Humans
MH  - Internal Mammary-Coronary Artery Anastomosis
MH  - Male
MH  - Middle Aged
EDAT- 2005/08/19 09:00
MHDA- 2005/10/29 09:00
CRDT- 2005/08/19 09:00
PHST- 2005/08/19 09:00 [pubmed]
PHST- 2005/10/29 09:00 [medline]
PHST- 2005/08/19 09:00 [entrez]
AID - 10.2298/mpns0412601n [doi]
PST - ppublish
SO  - Med Pregl. 2004 Nov-Dec;57(11-12):601-4. doi: 10.2298/mpns0412601n.