Direct Revascularization of the Septal Arteries: Preliminary Report on 112 Patients
Recent studies have shown that a policy of complete revascularization improves long-term results of surgery for coronary artery disease [1, 2, 5, 7]. However, when obstruction involves septal arteries, most cardiac surgeons do not perform direct grafting of these arteries. In the majority of patients the ischemic interventricular septum can be revascularized indirectly with grafts to the left anterior descending coronary artery (LAD) or the posterior descending artery, but there are situations, like those depicted in Fig. 1, in which direct revascularization of the septal arteries is either advisable or mandatory to achieve complete revascularization. In our institution septal arteries have been revascularized directly when indicated.
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