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May Preoperative Coronary Angiography Images Suggest About the Intramyocardial Course of Left Anterior Descending Coronary Artery?
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  • Ferit Çiçekçioğlu,
  • Kıvanc ATILGAN,
  • Zafer Er,
  • Ertan Demirdas
Ferit Çiçekçioğlu
Bozok University
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Kıvanc ATILGAN
TOBB ETU Hospital
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Zafer Er
Bozok University
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Ertan Demirdas
University of Health Sciences Gulhane School of Nursing
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Abstract

Objective: The aim of this study is to define the correlation between intramyocardial left anterior descending artery (IMLAD) and coronary artery angiography (CAG); our clinical intraoperative experiences. Material and Methods: Between January 2014 and May 2019, 196 patients underwent coronary artery bypass grafting (CABG) surgery in Bozok University Medicine Faculty Hospital. The correlation between the typical “wide-U” image of left anterior descending artery (LAD) depression(Cicekcioglu sign) on CAG and our intraoperative surgical observations of the patients were studied. Results: Of the 196 patients, 5 were excluded due to the total occlusion of proximal LAD. 30 had a typical “wide-U” image(Cicekcioglu sign) on CAG and 22 were observed to have an IMLAD. Of the 25 patients being observed to have IMLAD intraoperatively, 3 had a normal preoperative CAG imaging. The prevalence of the IMLAD was 13%. Sensitivity of CAG was measured as 88% and specificity of CAG was 95.1%. Discussion: In CAG, in case of LAD composing a “wide-U” imaging(Cicekcioglu sign) the image of LAD course is often observed to have a correlation with the intraoperative detection of IMLAD.

Peer review status:UNDER REVIEW

02 Sep 2020Submitted to Journal of Cardiac Surgery
10 Sep 2020Assigned to Editor
10 Sep 2020Submission Checks Completed
11 Sep 2020Reviewer(s) Assigned