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The overlying muscle bundle in the deep variant is typically at an oblique or transverse angle resulting in twisting of the tunneled segment and more commonly compromised coronary flow

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Deep sedation with propofol and a retrobulbar block was used in 2/155 (1.3%) cases, and general anesthesia with laryngeal mask airway (LMA) was used in 2/155 (1.3%) of the cases (Figure 3)

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