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The Annals of Thoracic Surgery, Vol 49, 1014-1015, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Extended use of bilateral internal mammary arteries for coronary artery disease

AD Slater, JP Gott and LA Gray Jr
Department of Surgery, University of Louisville School of Medicine, Kentucky.

The internal mammary artery is the conduit of choice for coronary artery revascularization. Wide angulation between the left anterior descending coronary artery and obtuse marginal branches and the diseased segments of the coronary arteries can prevent optimal positioning of the left internal mammary artery for sequential anastomoses for revascularization. We describe a technique using a segment of the left internal mammary artery as a free graft sewn in an end-to-side fashion to the in situ left internal mammary artery. This approach has technical and physiological advantages over previously described techniques.


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