CASE REPORTS  CARDIAC PAPERS 

The Journal of Cardiovascular Surgery 1999 June;40(3):385-6

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Myocardial revascularization with arterial conduits. The use of lateral costal artery

Piazza L., Renzulli A., Scardone M., Ismeno G., Cotrufo M.

From the Institute of Cardiac Surgery 2nd University of Naples V. Monaldi Hospital, Naples, Italy

We ­describe the ­long-­term ­results of a ­case of com­plete myo­car­dial revas­cu­lar­iza­tion ­with arte­rial con­duit ­employing ­also lat­eral ­costal ­artery (LCA). A ­fifty-­four-­year-old man under­went revas­cu­lar­iza­tion ­with the ­implant of ­right ­internal ­artery mam­mary (­RIMA) on the ­second por­tion of the ­right cor­o­nary ­artery (RCA), of the ­left ­internal mam­mary (­LIMA) on the ­left ­artery descen­dent (LAD) and of LCA on the ­obtuse mar­ginal ­arteries. The post­op­er­a­tive ­course was ­uneventful and a ­twelve-­month post­op­er­a­tive cor­o­nary angio­graphy ­showed arte­rial con­duits to be func­tioning ­well. LCA is ­another ­source for com­plete myo­car­dial revas­cu­lar­iza­tion ­with arte­rial con­duits.