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Single Vessel Disease (SVD) : They do well on medical treatment or with angioplasty. However if proximal LAD is significantly blocked and LIMA can be used as a conduit, surgery gives excellent results. In a patient with proximal LAD lesion if the ejection fraction (EF) is less than 50 per cent and non-invasive tests show extensive reversible ischaemia, surgery is the best choice.
Arterial Conduits LIMA UMA: anastomosis side-t-side with diaganal8 end-lo-sode with LAD Figure: Arterial conduits Internal Mamnrary Artery (IMA)
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