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Ann Thorac Surg 2001;71:1013-1014
© 2001 The Society of Thoracic Surgeons

Case report

The left gastric artery as an in-situ conduit in coronary artery bypass grafting

Egidius E.H.L. van Aarnhem, MDa, Joop H.M. Schreur, MD, PhDb, Mehran Firouzi, MDa, Erik W.L. Jansen, MD, PhDa

a Department of Cardiothoracic Surgery, Heart-Lung Institute, University Medical Center Utrecht, Utrecht, The Netherlands
b Department of Cardiology, Heart-Lung Institute, University Medical Center Utrecht, Utrecht, The Netherlands

Accepted for publication February 1, 2000.

Address reprint requests to Dr van Aarnhem, Klinik für Herzchirurgie, Herzzentrum Leipzig, Russenstrasse 19, 04289 Leipzig, Germany
e-mail: evanaarnhem{at}hotmail.com

Unsuitability of the in-situ right gastroepiploic artery in coronary bypass grafting occurs. Sometimes free-grafting can be performed, although this should not be considered in patients with a diseased ascending aorta. We describe the successful use of the left gastric artery as an alternative in-situ arterial conduit in a patient with a severely atherosclerotic ascending aorta.




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