case_images: PMC11748839_01
case_images: MIDCAB Procedure. A) Preparation of the left internal mammary artery. B) Pericardial incision. C) Preparation of the left anterior descending artery. D) Preparing for the anastomosis. E) Anastomosis. F) Postoperative wound
case_images: 13019_2024_3203_Fig1_HTML.jpg
case_images: PMC11748839_01_13019_2024_3203_Fig1_HTML.jpg
case_images: Fig1
case_images: It was then prepared (Fig. 1.A) and dilated with papaverine solution; a good diameter and blood flow were confirmed. After heparinisation, the pericardium was opened longitudinally (Fig. 1.B). The LAD was identified and the middle segment was exposed (Fig. 1.C). The LIMA was transected, and a 4 mm incision was made at its distal end, with holding sutures placed to prepare for anastomosis (Fig. 1.D). The anastomosis of the LIMA was performed in an end-to-side fashion using a single continuous Prolene 8 - 0 suture (Fig. 1.E). The thoracotomy was closed using the standard layer technique (Fig. 1.F).