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Bernardo A. Vidne
Arthur B. Lee, Jr.
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Ann Thorac Surg 1975;19:474-477
© 1975 The Society of Thoracic Surgeons

Articles

Free Internal Mammary Artery Graft

An Improved Surgical Technique

George Schimert, M.D., Bernardo A. Vidne, M.D.*, Arthur B. Lee, Jr., M.D.

From the Department of Surgery, Buffalo General Hospital and the State University of New York at Buffalo, Buffalo, N.Y.

Accepted for publication September 11, 1974.

* Address reprint requests to Dr. Vidne, Department of Surgery, Buffalo General Hospital, 100 High St., Buffalo, N.Y. 14203.

An improved method of free internal mammary artery (IMA)-to-ascending aorta anastomosis for coronary bypass is described. We interposed a small patch of vein with a suitable side-branch or branches in connecting the proximal end of a detached IMA or radial artery.

Thirty-four free IMA-to-coronary artery bypasses were performed in 25 patients; 16 right IMA, 14 left IMA, and 4 radial arteries were used. Coronary angiographic follow-up studies performed in all patients between two weeks and six months after operation proved that all grafts were patent and showing a larger lumen than is usually seen in undetached IMA grafts. Concomitantly, marked relief of anginal pain was noted in all patients.

Our experience with this technique is very encouraging. All patients are being followed to evaluate long-term graft patency.




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