PMC6385823_01
Coronary artery computed tomographic reconstruction showing an
aneurysmatic lesion of the left main artery.. LAD=left anterior descending coronary artery; LCX=left circumflex
artery
rbccv-34-01-0111-g01.jpg
PMC6385823_01_rbccv-34-01-0111-g01.jpg
f1
One year before the current episode, the patient suffered from ACS due to a severe calcified lesion of the LMA aneurysm (Figure 1).
Image of the surgical field: testing with a transitory tourniquet on the
left main artery, prior to permanent ligature.
rbccv-34-01-0111-g02.jpg
PMC6385823_01_rbccv-34-01-0111-g02.jpg
f2
A transitory tourniquet was applied to the LMA (Figure 2) and there was great improvement in the flow through the grafts with complete disappearance of any competitive flow (150 ml/min and 80 ml/min in right and left IMA, respectively, and insufficiency decreased to 0%).