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Ann Thorac Surg 1999;68:1422-1423
© 1999 The Society of Thoracic Surgeons

How To Do It

Finding the LAD during MIDCAB operations

Michael F. Szwerc, MDa, Jeffery C. Lin, MDa, James A. Magovern, MDa

a Department of Cardiothoracic Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA

Address reprint requests to Dr Magovern, Department of Cardiothoracic Surgery, Allegheny University Hospital, Allegheny General, 320 E North Ave, Pittsburgh, PA 15212

Minimally invasive direct coronary artery bypass (MIDCAB) is a new surgical procedure that revascularizes the left anterior descending coronary artery (LAD) without the need for a median sternotomy or cardiopulmonary bypass. This operation is performed through a small left anterior thoracotomy. With this exposure, it can be difficult to locate the left anterior descending coronary artery. We have identified anatomic features on the surface of the pericardium that can serve as a landmark for finding the left anterior descending coronary artery.




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J. C. Lin, D. L. Fisher, M. F. Szwerc, and J. A. Magovern
Evaluation of graft patency during minimally invasive coronary artery bypass grafting with Doppler flow analysis
Ann. Thorac. Surg., October 1, 2000; 70(4): 1350 - 1354.
[Abstract] [Full Text] [PDF]


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