%0 Journal Article
%T Long Segmenter Reconstruction of Diffusely Diseased of the Left Anterior Descending Artery without Coronary Artery Bypass Grafting
%A Salih Fehmi Kat£¿rc£¿o£¿lu
%A Hasan Attila Keskin
%J World Journal of Cardiovascular Surgery
%P 21-27
%@ 2164-3210
%D 2022
%I Scientific Research Publishing
%R 10.4236/wjcs.2022.123003
%X A
58-year-old male patient with LAD diffuse had hyperlipidemia and hypertension.
Preoperative angiography showed that he had triple-vessel disease with
diffusely diseased LAD. In echocardiography, EF was detected as 60 % (52</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">-</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">70) and PAP 25 (12</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">-</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">25)
mmHg and 2 degrees of tricuspid insufficiency. In this case report</span><span style=\"font-family:&quot;\">,</span><span style=\"font-family:&quot;\"> we will present our LAD
endarterectomy case. Surgical technique: after standard general anesthesia,
cardiopulmonary bypass procedure and moderate hypothermia, cold cardioplegic
arrest. Longit</span><span style=\"font-family:&quot;\">u</span><span style=\"font-family:&quot;\">d</span><span style=\"font-family:&quot;\">in</span><span style=\"font-family:&quot;\">al long LAD endarterectomy
was performed (approximately 10 cm long). A dissector was used to develop on </span><span style=\"font-family:&quot;\">the </span><span style=\"font-family:&quot;\">plane between media and
atheroma. Gentle traction was made to light off the atheroplaque with<b> </b>the
coronary artery branch<span>es, distal and
proximal part of the LAD. We assumed that </span></span><span style=\"font-family:&quot;\">the </span><span style=\"font-family:&quot;\">distal
part of</span><span style=\"font-family:&quot;\"> the LAD was free from plaque. Then we made the same
procedure to </span><span style=\"font-family:&quot;\">the </span><span style=\"font-family:&quot;\">proxi<span>mal part of the LAD. Luckily</span></span><span style=\"font-family:&quot;\">,</span><span style=\"font-family:&quot;\"> we observed th</span><span style=\"font-family:&quot;\">at</span><span style=\"font-family:&quot;\"> proximal atheroplaque was</span><span style=\"font-family:&quot;\"> also <span>harvested. After completing the endarterectomy,
antegrade cardioplegia was </span>administrated to wash and any debris is LAD</span><span style=\"font-family:&quot;\">;</span><span style=\"font-family:&quot;\"> also we tried the distal <span>part of </span><span>the
LAD. Via retrograde cardioplegia administrated</span></span><span style=\"font-family:&quot;\">,</span><span style=\"font-family:&quot;\"> we
did also observe the</span><span style=\"font-family:&quot;\"> bolus return of
%K Coronary Artery Disease
%K LAD Endarterectomy
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=115802