|
KMID : 0364020050380070504
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
2005 Volume.38 No. 7 p.504 ~ p.506
|
|
|
Coronary Artery Bypass Graft (CABG) for Intracavitary Coronary Artery Disease -A case report-
|
|
Kim Su-Wan
Lee Young-Tak
Sung Ki-Ick
Park Pyo-Won
Jun Tae-Gook
Park Kay-Hyun
|
|
|
Abstract
|
|
|
|
Intracavitary coronary artery is variant anomalous entrance to right ventricular cavity of left anterior descending artery. Since the disease is extremely rare, there has not been any report of it in Korea and is only found in 0.2 ∼0.3% of all CABG patients. It is very difficult to be diagnosed by preoperative coronary arteriography (CAG) and secure suture is needed for right ventriculotomy after CABG due to bleeding from right ventricle. Horizontal mattress suture with pledget has been recommended but, it could compress the myocardium surrounding ventriculotomy and result in disturbed flow of left anterior descending artery branch and perforating artery. So we used simple interrupted suture and the patient was recovered as other CABG patients without complications.
|
|
|
KEYWORD
|
|
|
Coronary artery anomaly, Coronary artery bypass
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|