Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Cardiovascular Sciences, cilt.35, sa.3, ss.81-88, 2023 (Scopus)
Objective: The aim of this study is to assess the prevalence of intramyocardial left anterior descending artery (IMLAD) and evaluate the early and mid-term outcomes in patients undergoing coronary artery bypass graft (CABG) procedures. Material and Methods: A retrospective analysis of 349 surgical reports of consecutive CABG procedures performed between January 2014 and October 2022 was conducted. Patients with IMLAD were matched with patients with epicardial left anterior descending artery (LAD) according to age, gender, and date of operation. A comparison between two groups was performed and follow-up data were obtained. Results: IMLAD was detected in 40 patients out of 349. The prevalence was 11.5%, and the median age was 56.5 years. There were 28 (70%) males. There were no statistically significant differences between the groups in terms of preoperative comorbidities, postoperative morbidities, reoperation rate for bleeding, mortality rates, and length of stay in the intensive care unit and the hospital. The cross-clamp and cardiopulmonary bypass times were comparable in both groups (p=0.350 and 0.765, respectively). The median follow-up time was 42 months (range 7-92 months) in the IMLAD group and 42.5 months (range 5-94 months) in the matched control group. Survival rates and freedom from reintervention rates were similar between the groups (p=0.368 and p=0.465, respectively). Conclusion: This study highlights the feasibility of performing surgeries involving IMLAD. Patients with IMLAD exhibited comparable early and mid-term clinical outcomes following CABG procedures compared to those with epicardial LAD.