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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

Corresponding Author:[email protected]

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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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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.
02 Sep 2020Submitted to Journal of Cardiac Surgery
10 Sep 2020Submission Checks Completed
10 Sep 2020Assigned to Editor
11 Sep 2020Reviewer(s) Assigned
04 Oct 2020Review(s) Completed, Editorial Evaluation Pending
07 Oct 2020Editorial Decision: Revise Major
18 Oct 20201st Revision Received
21 Oct 2020Submission Checks Completed
21 Oct 2020Assigned to Editor
21 Oct 2020Reviewer(s) Assigned
08 Nov 2020Review(s) Completed, Editorial Evaluation Pending
09 Nov 2020Editorial Decision: Revise Major
22 Nov 20202nd Revision Received