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Indian Journal of Thoracic and Cardiovascular Surgery

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01-01-2019 | Case report

Perforation of the left ventricle during dissection of the intramuscular left anterior descending coronary artery—delayed presentation

Authors: Venkataratnam Machiraju, Dhaval Pravin Trivedi

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 1/2019

Abstract

Dissecting out a deep intramuscular left anterior descending coronary (LAD) artery during coronary artery revascularization requires surgical experience. Inadvertent entry into the right ventricle had been reported during such dissection previously. However, entry into the left ventricle (LV) has not. Here, we present a case where such an entry occurred and was successfully repaired.The patient presented ten years later with delayed rupture of the LV.

Machiraju VR, Trivedi DM. Deep intramuscular left anterior descending (LAD) artery: implications for a young surgeon performing coronary artery bypass surgery. Clinics Surg. 2017;2:1495.

Parachuri RV, Chattuparambil B, Hasabettu PK, et al. Marsupialization of intramyocardial left anterior descending artery: a novel approach for easy access during revascularization. Ann Thorac Surg 2005;80:2390–2.

Machiraju VR. Practical approaches to the current “on-pump” redo coronary artery bypass surgery. Redo Cardiac Surgery in Adults. 2012; https://doi.org/10.1007/978-1-4614-1326-4_2.

Title: Perforation of the left ventricle during dissection of the intramuscular left anterior descending coronary artery—delayed presentation
Authors: Venkataratnam Machiraju
Dhaval Pravin Trivedi
Publication date: 01-01-2019
Publisher: Springer Singapore
Published in: Indian Journal of Thoracic and Cardiovascular Surgery / Issue 1/2019
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI: https://doi.org/10.1007/s12055-018-0684-5

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Perforation of the left ventricle during dissection of the intramuscular left anterior descending coronary artery—delayed presentation

Abstract

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Abstract

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