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Ann Thorac Surg 1990;50:553-556
© 1990 The Society of Thoracic Surgeons

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Articles

Combined internal mammary artery graft for coronary artery revascularization

C. Bakay, MD^_*, A. Akçevin, MD, K. Süzer, MD, T. Paker, MD, H. Türkolu, MD, B. Akpinar, MD, A. Aytaç, MD, C. Demirolu, MD

Department of Cardiovascular Surgery, Institute of Cardiology, University of Istanbul, Istanbul, Turkey

Accepted for publication April 20, 1990.

^_* Address reprint requests to Dr Bakay, Department of Cardiovascular Surgery, Institute of Cardiology, University of Istanbul, Haseki PB; 34304, 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.

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				A. A. Korkmaz, B. Onan, S. Onan, A. Ozkara, M. Guden, and C. Bakay Combined Internal Mammary Artery Graft in Coronary Bypass: 18-Year Follow-Up Ann. Thorac. Surg., June 1, 2009; 87(6): e57 - e58. [Abstract] [Full Text] [PDF]

				J. W. O'Brien, S. H. Johnson, S. J. VanSteyn, D. M. Craig, R. E. Sharpe, M. C. Mauney, and P. K. Smith Effects of internal mammary artery dissection on phrenic nerve perfusion and function Ann. Thorac. Surg., August 1, 1991; 52(2): 182 - 188. [Abstract] [PDF]