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Hooshang Soltanzadeh
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Kent C. Thieman
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Ann Thorac Surg 1988;46:577-578
© 1988 The Society of Thoracic Surgeons

Articles

Coronary–Coronary Bypass Using Internal Mammary Artery

Hiroshi Nishida, M.D.*, Hooshang Soltanzadeh, M.D., Ronald K. Grooters, M.D., Kent C. Thieman, M.D.

Department of Surgery, Iowa Methodist Medical Center, Des Moines, IA

Accepted for publication May 31, 1988.

* Address reprint requests to Dr. Nishida, Department of Surgery, Iowa Methodist Medical Center, 1200 Pleasant St, Des Moines, IA 50309

A free right internal mammary artery was used to bypass the right coronary artery in a patient with no available saphenous vein. The proximal end of the right internal mammary artery was anastomosed to the proximal right coronary artery, and the distal end of the free graft was anastomosed to the posterior descending coronary artery. Coronary–coronary bypass using a free internal mammary artery is an attractive approach to bypassing very distal vessels when other conventional grafting techniques are not possible.




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