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Eur J Cardiothorac Surg 2002;21:361-362
© 2002 Elsevier Science NL

Case report

The use of off pump surgery for management of penetrating coronary artery injury

Bristol Heart Institute, Bristol Royal Infirmary, Bristol BS2 8HW, UK

Received 31 August 2001; accepted 17 November 2001.

* Corresponding author. Tel.: +44-117-9283145; fax: +44-117-9299737
e-mail: n.holloway-dee{at}bristol.ac.uk

Penetrating trauma to the chest leading to coronary artery injury is associated with a high mortality rate, especially in the case of injury to the left anterior descending (LAD) coronary artery. The mortality rate remains high whether they are managed with primary ligation or with coronary artery bypass grafting using conventional cardiopulmonary bypass techniques. We report a case of proximal LAD coronary artery injury successfully treated with off pump coronary revascularisation.

Key Words: Off pump coronary artery surgery • Coronary artery injury • Penetrating trauma

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