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Ann Thorac Surg 2009;88:665-667. doi:10.1016/j.athoracsur.2008.12.062
© 2009 The Society of Thoracic Surgeons
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Lucas H.A. Sanders
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Case Reports

Management of Right Ventricular Injury After Localization of the Left Anterior Descending Coronary Artery

Lucas H.A. Sanders, FRACS, MD*, Hamad M.A. Soliman, MD, Bart H. van Straten, MD

Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, the Netherlands

Accepted for publication December 16, 2008.

* Address correspondence to Dr Sanders, Department of Cardiothoracic Surgery, Catharina Hospital, Michelangelolaan 2, Postbus 1350, Eindhoven, 5602 ZA, the Netherlands (Email: lucmedi{at}hotmail.com).

During coronary artery bypass surgery an intramyocardial or intracavitary left anterior descending coronary artery can be difficult to locate and pose problems of inadvertent entry into the right ventricle. We present a literature review of the management of this injury. We report an additional aid to prevent injury to the left anterior descending coronary artery during closure of the right ventriculotomy.






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