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Ann Thorac Surg 1992;53:1117-1119
© 1992 The Society of Thoracic Surgeons

Articles

Coronary bypass with both internal mammary and inferior epigastric arteries

Yves A.G. Louagie, MD*, Michel Buche, MD, Erwin Schröder, MD, Jean-Claude Schoevaerdts, MD

Departments of Cardiovascular and Thoracic Surgery and Cardiology, Academic Hospital of Mont-Godinne (Catholic University of Louvain), Yvoir, Belgium

Accepted for publication October 11, 1991.

* Address reprint requests to Dr Louagie, Department of Cardiovascular and Thoracic Surgery, Academic Hospital of Mont Godinne, 1 av Therasse, 5530 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.




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[Abstract] [PDF]


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