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Ann Thorac Surg 1992;54:381-383
© 1992 The Society of Thoracic Surgeons

Articles

Right internal mammary artery extended with an inferior epigastric artery for circumflex and right coronary bypass

Michel Buche, MD*, Erwin Schroeder, MD, Philippe Devaux, MD, Yves A.G. Louagie, 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 March 31, 1992.

* Address reprint requests to Dr Buche, Service de Chirurgie Cardiovasculaire et Thoracique, Cliniques Universitaires UCL de Mont-Godinne, 5530 Yvoir, Belgium.

The right in situ internal mammary artery extended end to end with a free inferior epigastric artery was used through the transverse sinus for sequential grafting to one marginal branch of the circumflex artery and one or both distal branches of the right coronary artery. This procedure was applied in 5 patients with three-vessel disease who received in addition a left in situ internal mammary artery as a sequential graft to the left anterior descending coronary artery and one of its diagonal branches. The postoperative course was uneventful in all cases. A postoperative coronary angiogram obtained on day 10 in 4 patients showed all the grafts and anastomoses patent.




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