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Ann Thorac Surg 2004;78:1458-1460
© 2004 The Society of Thoracic Surgeons

Case report

Selective Arterialization of the Coronary Venous System

J. Rafael Sadaba, FRCSa, Unnikrishnan R. Nair, FRCS*,a

a Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom

Accepted for publication July 10, 2003.

* Address reprint requests to Dr Nair, Department of Cardiothoracic Surgery, Leeds General Infirmary, Great George St, Leeds LS1 3EX, UK
unnikrishnan.nair{at}leedsth.nhs.uk

The idea of myocardial revascularization by means of grafting the coronary venous system is more than a century old; in cases of diffuse coronary artery disease, this may represent a valid therapeutic option. We present a challenging case in which a patient with an aberrant left coronary system and unstable angina underwent this type of procedure with good clinical results.




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