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Ann Thorac Surg 1992;53:513-516
© 1992 The Society of Thoracic Surgeons

Articles

Internal thoracic artery grafting for congenital coronary malformations

Soichiro Kitamura, MD*, Kanji Kawachi, MD, Tsutomu Nishii, MD, Shigeki Taniguchi, MD, Kiyoshi Inoue, MD, Kazumi Mizuguchi, MD, Masaaki Fukutomi, MD

Department of Surgery III, Nara Medical College, Nara, Japan

Accepted for publication August 13, 1991.

* Address reprint requests to Dr Kitamura, Department of Surgery III, Nara Medical College, 840 Shijo-cho, Kashihara, Nara, Japan 634.

We report 2 patients with congenital coronary anomalies (atresia of left main coronary artery and anomalous origin of the left coronary artery from the pulmonary artery) successfully treated with single or double internal thoracic artery grafting. Because the internal thoracic artery has a potential for circumferential as well as longitudinal development, and because of the uncertainty of ultimate vein graft function, we believe that the internal thoracic artery is the best graft material for the treatment of congenital coronary malformations requiring bypass operation in children, adolescents, or even in adults.




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