The Annals of Thoracic Surgery, Vol 53, 1117-1119, Copyright © 1992 by The Society of Thoracic Surgeons
Coronary bypass with both internal mammary and inferior epigastric arteries
YA Louagie, M Buche, E Schroder and JC Schoevaerdts
Department of Cardiovascular and Thoracic Surgery, Academic Hospital of Mont-Godinne (Catholic University of Louvain), Yvoir, Belgium.
A patient having undergone triple coronary artery bypass grafting with the
left internal mammary artery and both shorter saphenous veins was
reoperated on because of occlusion of the venous grafts. As there was no
other vascular substitute available, the right internal mammary artery and
both inferior epigastric arteries were used to achieve myocardial
revascularization. This case demonstrates that bilateral internal mammary
arteries and inferior epigastric arteries can be used safely.