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The Annals of Thoracic Surgery, Vol 37, 379-381, Copyright © 1984 by The Society of Thoracic Surgeons
RV Pellegrini, G Marcelli, S Bekoe, RF DiMarco Jr and AG Marrangoni
Complete myocardial revascularization entails the grafting of all vessels
of adequate size demonstrating occlusive arteriosclerotic vascular disease.
Revascularization of the circumflex coronary artery in the atrioventricular
groove has been a major surgical challenge because of the difficulty of
exposing it. We discuss here our operative technique in 12 consecutive
patients requiring revascularization of that segment of the circumflex
coronary artery. Eleven grafts studied in the postoperative period were
found to be patent, and the clinical course of the remaining patient and
direct observations, including enzyme studies and periodic stress testing,
have not shown any evidence of graft failure.
ARTICLES
Revascularization of the circumflex coronary artery in the atrioventricular groove
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