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Ann Thorac Surg 1984;37:379-381
© 1984 The Society of Thoracic Surgeons
Department of Thoracic-Cardiovascular Surgery and the Surgical Research Laboratory, Mercy Hospital, Pittsburgh, PA
Accepted for publication August 17, 1983.
* Address reprint requests to Dr. Marrangoni, Surgical Research Laboratory, Mercy Hospital, Pride and Locust Sts, Pittsburgh, PA 15219
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.
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