Leon, K., Sultan, A., Radwan, I., Soliman, R. (2022). Long Term Results of LAD reconstruction with LIMA Patch in Patients with multiple significant LAD disease. The Egyptian Journal of Hospital Medicine, 89(2), 7737-7740. doi: 10.21608/ejhm.2022.277130
Khaled N. Leon; Ahmed Sultan; Ibrahim Radwan; Rafik F. B. Soliman. "Long Term Results of LAD reconstruction with LIMA Patch in Patients with multiple significant LAD disease". The Egyptian Journal of Hospital Medicine, 89, 2, 2022, 7737-7740. doi: 10.21608/ejhm.2022.277130
Leon, K., Sultan, A., Radwan, I., Soliman, R. (2022). 'Long Term Results of LAD reconstruction with LIMA Patch in Patients with multiple significant LAD disease', The Egyptian Journal of Hospital Medicine, 89(2), pp. 7737-7740. doi: 10.21608/ejhm.2022.277130
Leon, K., Sultan, A., Radwan, I., Soliman, R. Long Term Results of LAD reconstruction with LIMA Patch in Patients with multiple significant LAD disease. The Egyptian Journal of Hospital Medicine, 2022; 89(2): 7737-7740. doi: 10.21608/ejhm.2022.277130
Long Term Results of LAD reconstruction with LIMA Patch in Patients with multiple significant LAD disease
11Department of Cardiology, National Heart Institute, Giza, Egypt
22Department of Cardiothoracic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
33Department of Cardiothoracic Surgery, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt
Abstract
Background: A common and technically difficult condition is diffusely diseased left anterior descending (LAD) coronary artery with several severe stenoses. Objective: The aim of the present study was to assess the long-term patency following LAD reconstruction with a left internal mammary artery (LIMA) patch, in patients with substantial proximal, multiple long segments, mid and distal LAD stenosis. Patients and methods: This case series was collected from Menoufia University, Farid Habib, and CardioTech Hospital between January 2012 and January 2022. A total of 100 patients who were presented with multi-vessel disease and proximal with multiple long segments mid to distal significant LAD stenoses were included. Results: The majority (72%) of patients in the study were males, with a mean age of 59.08 (SD 2.06) years. The most prevalent comorbidities were hypertension, dyslipidemia, and diabetes mellitus (84%, 68%, and 54%, respectively). The mean EuroScore II was 1.02 (SD 0.24), and the mean ejection fraction was 49.29 (SD 3.5). Grafts of 5 (8%), 4 (70%), or 3 (22%) were used. At 5-years (N.49, 98%) and 10-years (N.46, 92%), follow-up revealed LIMA to LAD patency in every patient evaluated, but we lost track of 1 (1%) patient at 5-years and 4 (4%) patients at 10-years. Conclusion: Coronary LAD reconstruction with LIMA patch is a good option for patients with diffuse coronary artery disease.
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