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Revasculariza??o do miocárdio. Anastomose término-terminal. Ponte intercoronariana: relato de 2 casos

DOI: 10.1590/S0102-76381998000100010

Keywords: coronary vessels [surgery], myocardial revascularization, thoracic arteries [surgery], anastomosis, surgical.

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Abstract:

from the early days of surgical treatment of coronary artery disease by vineberg until the present time using several types of grafts, we are hoping to improve outcome. case 1 - a 60 year old man with angina and syncope. an angiographic study has shown a 90% obstruction in a. d., 99% in the right coronary (fig. 1). an anastomosis between the left internal thoracic artery and the right coronary artery. a resection of the narrow segment with an end to end anastomosis (fig. 2). case 2 - a 40 year old man, with 80% obstruction in the right coronary artery (fig. 4) and 99% in the descending aorta. a 4 cm segment of atie was replaced with a bypass from the right coronary artery (fig. 3). and a free graft of atie from descending anterior artery. the one year follow up of both patients has been good with normal stress test and symptoms.

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