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Repair of Separated Coronary Segments Resulting From a Complicated Coronary Endarterectomy

Duko G. Nei, MD, PhD^a,_*, Aleksandar M. Knezevic, MD, BS^a, Zelimir D. Antonic, MD^b, Miomir Dj. Jovic, MD, PhD^c

^a Department of Cardiac Surgery, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
^b Department of Radiology, "Dedinje" Cardiovascular Institute, Belgrade, Serbia
^c Department of Anesthesiology, "Dedinje" Cardiovascular Institute, Belgrade, Serbia

Accepted for publication July 16, 2007.

^_* Address correspondence to Dr Nei, Department of Cardiac Surgery I, "Dedinje" Cardiovascular Institute, Heroja M. Tepia 1, Belgrade, 11000, Serbia (Email: nezic{at}eunet.yu).

Cardiac surgeons are treating an increasing number of patients with diffuse coronary artery disease that requires the use of alternative surgical techniques. We present a patient who had a technically unsatisfactory endarterectomy of the left anterior descending coronary artery. We were left with only 3 segments of properly endarterectomized coronary bed areas, separated with totally disintegrated coronary bed portions. These 3 segments were incorporated into the venous graft, with the inflow obtained from the left internal thoracic artery. We believe that this approach may be the rescue technique for complicated coronary artery endarterectomy.

This article has been cited by other articles:

				D. Nezic, A. Knezevic, S. Micovic, and M. Cirkovic eComment: Islets technique to reduce endarterectomized area included into graft during left anterior descending coronary artery endarterectomy Interactive CardioVascular and Thoracic Surgery, June 1, 2009; 8(6): 665 - 665. [Full Text] [PDF]