Off-Pump Coronary Artery Bypass in a Patient with Severe Atherosclerosis in the Accessory Left Anterior Descending Artery
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概要
- 論文の詳細を見る
It is rare for an accessory left anterior descending artery to be the single coronary artery anomaly in adult with severe atherosclerosis. An off-pump coronary artery bypass was performed electively for the patient. We indentified that the accessory left anterior descending artery, accompanied by a little portion of the left anterior descending artery, ran in the anterior interventricular groove to the apex. Four vessel-anastomoses, including the left internal mammary artery to the accessory left anterior descending artery, were made, and the patient finally had an uneventful recovery. Careful study of the image in coronary angiography before the procedure and attentive examination of the plaque during the operation is the key to discriminating the variant vessel.
著者
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Liu Huan
Department Of Applied Chemistry Kyushu University
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Wei Lai
Department of Cardiovascular Surgery, Shanghai Cardiovascular Institution and Zhongshan Hospital, Shanghai Fudan University, Shanghai, China
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Xia Limin
Department of Cardiovascular Surgery, Shanghai Cardiovascular Institution and Zhongshan Hospital, Shanghai Fudan University, Shanghai, China
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Zhu Jiasi
Department of Cardiovascular Surgery, Shanghai Cardiovascular Institution and Zhongshan Hospital, Shanghai Fudan University, Shanghai, China
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Yang Zhaohua
Department of Cardiovascular Surgery, Shanghai Cardiovascular Institution and Zhongshan Hospital, Shanghai Fudan University, Shanghai, China
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Wang Chunsheng
Department of Cardiovascular Surgery, Shanghai Cardiovascular Institution and Zhongshan Hospital, Shanghai Fudan University, Shanghai, China
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- Off-Pump Coronary Artery Bypass in a Patient with Severe Atherosclerosis in the Accessory Left Anterior Descending Artery