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J Thorac Cardiovasc Surg 2004;127:1517-1518
© 2004 The American Association for Thoracic Surgery

Brief communication

Coronary-coronary free internal thoracic artery graft on a single, distal, left anterior descending artery lesion

Duko Nei, MD, PhD, FETCS^a,*, Aleksandar Kneevi, MD, BCh^a, Saa Borovi, MD^a, Milan irkovi, MD^a, Predrag Milojevi, MD, BCh, FETCS^a

^a Department of Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia and Montenegro Yugoslavia

Received for publication October 14, 2003; accepted for publication November 3, 2003.

^* Address for reprints: Duko Nei, MD, PhD, FETCS, Department of Cardiac Surgery, Dedinje Cardiovascular Institute, M. Tepia 1, 11040 Belgrade, Serbia and Montenegro Yugoslavia
nezic@EUnet.yu

The first 20% of the full text of this article appears below.

Dr Nei

A free short segment of left internal thoracic artery (ITA) has been used to bypass a single distal lesion on a large left anterior descending artery (LAD) running well over the cardiac apex. In our opinion this technique occasionally might be an attractive approach for bypassing very distal lesions of large coronary arteries (combined with regular arterial or venous grafting if there has also been proximal stenosis in the targeted artery). The proximal remnant of the left ITA can be easily used as an in situ graft.

Clinical summary

A 41-year-old man was admitted with progressive angina (New York Heart Association class III on admission) not relieved by optimal medical therapy. The result of a previous stress test was strongly positive. Cardiac catheterization and angiocardiography revealed good left ventricular function (ejection fraction of 0.55) with severe triple-vessel disease. There was occlusion of the right coronary artery, a 75% stenosis of the ramus intermedius, and a long (3 cm in length) up to 95% stenosis (inconvenient for percutaneous transvenous coronary . . . [Full Text of this Article]

This article has been cited by other articles:

				D. G. Nezic, A. M. Knezevic, M. V. Cirkovic, S. D. Borovic, and P. S. Milojevic Arterial coronary-coronary conduit over single, distal left anterior descending coronary artery lesion: 3.5 years afterward J. Thorac. Cardiovasc. Surg., July 1, 2007; 134(1): 238 - 240. [Full Text] [PDF]

				D. Nezic Reply J. Thorac. Cardiovasc. Surg., November 1, 2004; 128(5): 798 - 798. [Full Text] [PDF]

				D. Nezic Reply J. Thorac. Cardiovasc. Surg., November 1, 2004; 128(5): 800 - 801. [Full Text] [PDF]