Superior approach to the left main coronary artery for surgical angioplasty Kiyoyuki Eishi, MD, Hiroaki Sasaki, MD, Kiyoharu Nakano, MD, Yoshio Kosakai,

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Presentation transcript:

Superior approach to the left main coronary artery for surgical angioplasty Kiyoyuki Eishi, MD, Hiroaki Sasaki, MD, Kiyoharu Nakano, MD, Yoshio Kosakai, MD, Fumitaka Isobe, MD, Yoshikado Sasako, MD, Junjiro Kobayashi, MD The Journal of Thoracic and Cardiovascular Surgery Volume 113, Issue 3, Pages 609-611 (March 1997) DOI: 10.1016/S0022-5223(97)70379-9 Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 1 Preoperative coronary angiograms revealed severe stenosis of the orifice of the LMT. There were no sclerotic changes in other branches. Postoperative coronary angiograms revealed an enlarged LMT orifice and excellent blood flow through the LMT. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 609-611DOI: (10.1016/S0022-5223(97)70379-9) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 The main pulmonary artery was retracted to its lateral side by an encircling tape and the posterior wall of the aorta was pulled inferiorly, after complete transection of the ascending aorta (top). The incision started near the left noncoronary commissure and slightly curved into the LMT (dotted line and middle photograph). Suturing of the saphenous vein patch began from the bottom of the LMT incision and continued upward. Patch angioplasty with a saphenous vein was completed (bottom). LMT, Left main trunk; PA, pulmonary artery; LCAO, left coronary artery orifice; SVP, saphenous vein patch; SVC, superior vena cava. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 609-611DOI: (10.1016/S0022-5223(97)70379-9) Copyright © 1997 Mosby, Inc. Terms and Conditions