Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery With Left Internal Thoracic Artery With or Without Endarterectomy

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Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery With Left Internal Thoracic Artery With or Without Endarterectomy Toshihiro Fukui, MD, Shuichiro Takanashi, MD, Yasuyuki Hosoda, MD The Annals of Thoracic Surgery Volume 80, Issue 6, Pages 2098-2105 (December 2005) DOI: 10.1016/j.athoracsur.2005.06.047 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Coronary artery angiography of a patient who had coronary artery reconstruction without endarterectomy. (A) Preoperative angiogram showing diffuse diseased left anterior descending (LAD) coronary artery. The LAD has multiple segmental lesions but the diameter of the nondiseased region is larger than 1 mm. (B) Nineteen months after the operation. Reconstructed LAD diameter changed to normal size. The Annals of Thoracic Surgery 2005 80, 2098-2105DOI: (10.1016/j.athoracsur.2005.06.047) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Coronary artery angiography of a patient who had coronary artery reconstruction with endarterectomy. (A) Preoperative angiogram showing diffuse diseased left anterior descending (LAD) coronary artery. Diffusely diseased continuous lesion was observed in the LAD with about 1 mm diameter. (B) Twenty-four months after the operation. Reconstructed LAD diameter changed to normal size. The Annals of Thoracic Surgery 2005 80, 2098-2105DOI: (10.1016/j.athoracsur.2005.06.047) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Actuarial survival rates including all deaths (— = LS-CABG without endarterectomy; - - - = LS-CABG with endarterectomy). There was no significant difference between the two groups (p = 0.11). (LS-CABG = longer segmental coronary artery bypass grafting.) The Annals of Thoracic Surgery 2005 80, 2098-2105DOI: (10.1016/j.athoracsur.2005.06.047) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Deaths and cardiac event free rates (— = LS-CABG without endarterectomy; - - - = LS-CABG with endarterectomy). There was no significant difference between the two groups (p = 0.13). (LS-CABG = longer segmental coronary artery bypass grafting.) The Annals of Thoracic Surgery 2005 80, 2098-2105DOI: (10.1016/j.athoracsur.2005.06.047) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions