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Ann Thorac Surg 1984;38:533-534
© 1984 The Society of Thoracic Surgeons

Articles

A Technique of Anastomosis of the Right Internal Mammary Artery to the Circumflex Artery and Its Branches

Luiz B. Puig, M.D.1, Luiz França Neto, M.D., Miguel Rati, M.D., José A.F. Ramires, M.D., Protásio L. da Luz, M.D., Fúlvio Pileggi, M.D., Adib D. Jatene, M.D.

Institute do Coraçao, University of Sao Paulo Medical School, Sao Paulo, Brazil

Accepted for publication February 1, 1984.

1 Address reprint requests to Dr. Puig, Instituto do Coraçao, University of Sao Paulo Medical School, Av Dr. Eneas de Carvalho Aguiar, 44, Sao Paulo, Brazil CEP 05403.

A new technique for direct revascularization of the left circumflex artery and its ventricular branches through anastomosis with the right internal mammary artery (RIMA) was applied in 56 patients. Postoperative angiographic studies in 17 patients showed that positioned behind the aorta, the RIMA can reach the circumflex artery with no tension, allowing adequate distal filling.




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