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The Annals of Thoracic Surgery, Vol 50, 553-556, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Combined internal mammary artery graft for coronary artery revascularization

C Bakay, A Akcevin, K Suzer, T Paker, H Turkoglu, B Akpinar, A Aytac and C Demiroglu
Department of Cardiovascular Surgery, University of Istanbul, Turkey.

Five patients with multiple-vessel coronary artery disease underwent isolated coronary artery bypass grafting with a technique involving both internal mammary arteries and a small piece of interposed saphenous vein. The combined internal mammary artery grafts were used for sequential grafting. A total of 20 anastomoses were performed (average number, 4 anastomoses per patient). There were no operative deaths. Postoperative complications included reoperation for bleeding in 1 patient and diaphragmatic dysfunction in another. Postoperative coronary angiography 2 days before discharge (mean time, 10 days postoperatively) revealed that all the sequential anastomoses with the combined IMA graft were patent. Exercise tolerance tests performed 3 and 11 months postoperatively indicated excellent results and no ischemia. Based on this experience, we conclude that this method appears promising for multivessel coronary artery bypass grafting.