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Graft preference is a key point for long-term patency in coronary artery bypass grafting. We present a patient with multivessel coronary artery disease who underwent coronary artery bypass grafting 18 years ago. Revascularization of the left coronary system was performed by using a combined internal mammary artery (IMA) graft, which consisted of an(More)
Papillary fibroelastomas, which were initially incidental findings at autopsy and surgery, are now being recognized with increasing frequency with the widespread use of echocardiography. Because of their embolic potential, an aggressive treatment approach is generally accepted. We report a papillary fibroelastoma located at the chorda of the anterior mitral(More)
PURPOSE Several alternative procedures have been proposed to achieve complete revascularization in the presence of diffuse left anterior descending coronary artery (LAD) disease. With the extensive use of internal thoracic artery grafts in coronary artery bypass procedures, sequential anastomosis of the left internal thoracic artery (LITA) to LAD has gained(More)
BACKGROUND Mild to moderately stenotic coronary arteries present a major problem as the progression of atherosclerosis is unpredictable. In addition, residual flow from the native coronary artery has been proposed as a mechanism that reduces blood flow in bypass grafts resulting in failure of the graft. PATIENTS AND METHODS The internal thoracic artery(More)
Cardiac tamponade due to chylous fluid following open heart surgery in a 41-year-old man, is presented. To our knowledge, this is the fourth reported case in the English literature. Treatment included aspiration of the chylous fluid through a subxiphoid incision and creation of a fistula between the pericardium and peritoneum to prevent the loss of chylous(More)
BACKGROUND Several bilateral internal thoracic artery (ITA) grafting patterns have been proposed to enhance 3-vessel coronary artery revascularization. We present the outcomes of sequential in situ left ITA grafting to the circumflex and right coronary artery (RCA) areas. METHODS Between January 2001 and September 2007, 102 patients with 3-vessel coronary(More)
The current trend in coronary artery surgery is to revascularize the left coronary artery branches with bilateral internal thoracic arteries (ITA). For this procedure, the right ITA is usually grafted to the left anterior descending coronary artery while the circumflex coronary artery is revascularized by the left ITA. The mid to long-term results of the(More)
In certain coronary artery bypass grafting operations, the internal thoracic artery is not by itself adequate for complete arterial revascularization. Which graft should be used for revascularization of the right coronary artery is still a matter of debate. From August 2000 through July 2005, we performed coronary-coronary bypass grafting on 48 patients(More)