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Alan R. Hartman
Kwabena I. Mawulawde
Constantine E. Anagnostopoulos
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Ann Thorac Surg 1990;49:816-818
© 1990 The Society of Thoracic Surgeons

Articles

Myocardial revascularization with the lateral costal artery

Alan R. Hartman, MD*, Kwabena I. Mawulawde, MD, John P. Dervan, MD, Constantine E. Anagnostopoulos, MD

Divisions of Cardiothoracic Surgery and Cardiology, University Hospital at Stony Brook, Stony Brook, New York, USA

Accepted for publication October 10, 1989.

* Address reprint requests to Dr Hartman, University Hospital, Stony Brook Health Science Center, T-19, Rm 080, Stony Brook, NY 11794-8191.

The lateral costal artery is a branch of the internal mammary artery that occurs in 27% of cadaver series. The similarities to the internal mammary artery and its easy accessibility would suggest its use as a bypass conduit for coronary revascularization. We describe the harvesting and utilization of this artery as an in situ coronary bypass graft, and we have initiated a study examining the exact frequency of this anomalous vessel. The availability of the lateral costal artery either unilaterally or bilaterally adds another dimension to the concept of complete arterial conduit myocardial revascularization.






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