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Ann Thorac Surg 1991;51:1002-1003
© 1991 The Society of Thoracic Surgeons
Division of Thoracic and Cardiovascular Surgery, Texas A & M University College of Medicine, Scott and White Clinic, Temple, Texas, USA
Accepted for publication November 5, 1990.
* Address reprint requests to Dr Hayward, 2401 S 31st St, Temple, TX 76508.
This report describes the 20-year follow-up of a patient who had undergone a double internal mammary implantation for coronary occlusive disease. A lack of similar reports in the literature suggests that such survival is rare, but this case indeed documents the fact that the internal mammary arteries can revascularize the myocardium, and this patient's continued survival appears to depend entirely on this collateral blood flow.
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