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Ann Thorac Surg 1981;31:370-372
© 1981 The Society of Thoracic Surgeons

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Articles

Internal Mammary Artery-Saphenous Vein Composite Conduit: An Alternative for the Proximal Coronary Anastomosis

Department of Surgery, Cardiothoracic Division, Montefiore Hospital and Medical Center, Bronx, NY

Accepted for publication March 24, 1980.

^* Address reprint requests to Dr. Brodman, Montefiore Hospital, 111 East 210th St, Bronx, NY 10467

A patient who had previously undergone saphenous vein bypass grafting was seen with recurrent angina requiring reoperation. At the second operation, technical problems with the ascending aorta ultimately excluded its use for the proximal anastomosis for the second of two bypass grafts. Anastomosis of the left internal mammary artery to the proximal end of the saphenous vein graft successfully resolved the problem.

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