PMC3554424_01
CTA 3D reconstruction of the heart. Aorta (AO), Right coronary artery (RC), acute marginal (AM), pulmonary artery (PA) and left anterior descending artery (LAD).
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F1
Cardiac computed tomography angiography (CTA) with 3D reconstruction (Figure 1) demonstrated diffusely enlarged and tortuous coronary arteries, a normal RCA implantation into the right coronary aortic sinus and a left main coronary artery (LMCA) implantation site on the pulmonary artery (PA) which was anterior and to the left [see Additional file 1]. In order to provide dual coronary perfusion, we proceeded with on-pump beating-heart coronary artery bypass grafting (CABG) of the left anterior descending coronary using a large saphenous vein graft (SVG) harvested in the proximal calf, selected to match the size and the significant flow in the LAD (Figure 2 and Additional file 1).
CABG Coronary artery bypass grafting (CABG) of the left anterior descending artery (LAD) with a saphenous vein (SV) graft. Acute marginal (AM). Patient's head up.
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PMC3554424_01_1749-8090-8-15-2.jpg
F2
In order to provide dual coronary perfusion, we proceeded with on-pump beating-heart coronary artery bypass grafting (CABG) of the left anterior descending coronary using a large saphenous vein graft (SVG) harvested in the proximal calf, selected to match the size and the significant flow in the LAD (Figure 2 and Additional file 1).