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The Annals of Thoracic Surgery, Vol 50, 553-556, Copyright © 1990 by The Society of Thoracic Surgeons
C Bakay, A Akcevin, K Suzer, T Paker, H Turkoglu, B Akpinar, A Aytac and C Demiroglu
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.
ARTICLES
Combined internal mammary artery graft for coronary artery revascularization
Department of Cardiovascular Surgery, University of Istanbul, Turkey.
This article has been cited by other articles:
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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] |
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