Improved exposure for complex left main coronary artery reconstruction

Autor: F E, Deuvaert, H, Demanet, J, De Paepe, G, Van Nooten, G, Primo
Rok vydání: 1991
Předmět:
Zdroj: Acta chirurgica Belgica. 91(1)
ISSN: 0001-5458
Popis: Direct surgical repair of left main coronary artery (LMCA) stenosis by either the right (posterior) or left (anterior) approach can be difficult in case of complex, extensive atheromatous lesions. Complete transsection of both great vessels allows rotation of the heart, with its base facing the surgeon. Patch repair then becomes safe, precise and expedicious. The LMCA arteriotomy can easily be prolonged beyond its bifurcation as needed. Three consecutive patients were successfully operated. We suggest this approach to the surgeon concerned by restoration of a physiologic antegrade flow for his patient with complex atheromatous LMCA lesions.
Databáze: OpenAIRE