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How To Do It

A Novel Approach to Surgical Treatment of Diseased Intracavitary Coronary Arteries and Ventriculotomy Closure

^a Department of Cardiovascular Surgery, Istanbul University, Institute of Cardiology, Istanbul, Turkey
^b Department of Cardiovascular Surgery, Baskent University, Istanbul, Turkey
^c Gulhane Military School of Medicine, Department of Cardiovascular Surgery, Etlik, Ankara, Turkey

Accepted for publication June 22, 2007.

^_* Address correspondence to Dr Ozker, Osmanyilmaz MH, Ataturk CD No. 42/9 Gebze Kocaeli, Turkey (Email: dremreozker{at}yahoo.com).

Inadvertent opening of the right ventricle may occur during dissection of an intracavitary artery. Two patients with stenotic intracavitary left anterior descending arteries were operated on. A right ventriculotomy was performed in the operation. The anastomosis was performed to this intracavitary segment of the artery. The ventriculotomy was closed with a pericardium. There were no ischemic changes or aneurysmal formation in the postoperative follow-ups. This technique may be preferable in the closure of right ventriculotomy without compromise of coronary flow or anastomosis.