Conclusion:
The anterior cardiac wall infarction is usually a result of the
atherosclerosis of LAD, which has the highest ratio of intramuscular
course in comparison to remaining coronary arteries. LAD is the most
common affected coronary artery,and mostly the left internal mammary
artery (LIMA) is preferred to graft it. In case of predicting and
locating IMLAD preoperatively, it would be able to avoid many
intraoperative management complications. Therefore, we planned to
investigate whether CAG could be used as a predictive test for IMLAD,
and a sensitivity score of 88 % was encouraging in terms of predicting
IMLAD before surgery.