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Coronary artery bypass grafting with gastroepiploic artery composite graft
Toru Sato, MD, Tadashi Isomura, MD, Hisayoshi Suma, MD, Taiko Horii, MD, Norio Kikuchi, MD The Annals of Thoracic Surgery Volume 69, Issue 1, Pages (January 2000) DOI: /S (99)
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Fig 1 GEA composite graft. In situ GEA was anastomosed to free RA, which was sequentially anastomosed to OM, PL, and PDA. LAD was revascularized with in situ LITA without any composite branches. (GEA = gastroepiploic artery; RA = radial artery; OM = obtuse marginal branch; PL = posterolateral branch; PDA = posterior descending branch; LAD = left anterior descending branch; LITA = left internal thoracic artery; LCX = left circumflex artery; RCA = right coronary artery.) The Annals of Thoracic Surgery , 65-69DOI: ( /S (99) )
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Fig 2 Postoperative angiogram. (A) In situ GEA (double arrow) was anastomosed to free RA (single arrow), which revascularized OM (a), PL (b), and PDA (c) sequentially (left anterior oblique view). (B) In situ GEA (double arrow) was anastomosed to free RA (single arrow), which revascularized OM (d) and PL (e) sequentially (antero-posterior view). The Annals of Thoracic Surgery , 65-69DOI: ( /S (99) )
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Fig 3 Postoperative angiogram. (A) In situ GEA (double arrow) was anastomosed to free RITA (single arrow) in an end-to-side fashion (lateral view). (B) Left anterior oblique view of the same case. GEA composite graft was widely patent, which was anastomosed to first diagonal branch (a), OM (b), PL (c), and AV (d) sequentially. The Annals of Thoracic Surgery , 65-69DOI: ( /S (99) )
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