Revascularization of the Diffusely Diseased Left Anterior Descending Artery: A Contemporary Surgical Review

Authors

  • Mohamed Ezzat Helmy Mohamed Abdelrahman, Mostafa Abdelmohsen Elnewehy, Ehab Sobhy Ragab, Amr Hassan Mansour, Walid Abdallah Attia Hassan Sherif

Keywords:

Diffuse left anterior descending artery; Coronary artery bypass grafting; Coronary endarterectomy; Left internal thoracic artery; Coronary reconstruction.

Abstract

Background: Diffuse disease of the left anterior descending (LAD) coronary artery remains one of the greatest challengesin coronary artery bypass grafting (CABG). Extensive atherosclerosis, severe calcification, long-segment stenosis, andinvolvement of multiple septal and diagonal branches often preclude conventional distal anastomosis, making completemyocardial revascularization difficult to achieve. Inadequate revascularization of the LAD is associated with persistent ischemia, recurrent angina, impaired ventricular function,

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References

Virani SS, Newby LK, Arnold SV, et al. Heart disease and stroke statistics—2023 update. Circulation. 2023;147.

Neumann FJ, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS guidelines on myocardial revascularization. Eur Heart J. 2019;40:87-165.

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Published

2024-03-20

How to Cite

Mohamed Ezzat Helmy Mohamed Abdelrahman, Mostafa Abdelmohsen Elnewehy, Ehab Sobhy Ragab, Amr Hassan Mansour, Walid Abdallah Attia Hassan Sherif. (2024). Revascularization of the Diffusely Diseased Left Anterior Descending Artery: A Contemporary Surgical Review. Pegem Journal of Education and Instruction, 14(3), 1209–1221. Retrieved from https://www.pegegog.net/index.php/pegegog/article/view/5271

Issue

Vol. 14 No. 3 (2024): PEGEGOG

Section

Article

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