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Ann Thorac Surg 1993;55:162-163
© 1993 The Society of Thoracic Surgeons

Articles

Free splenic artery used in aortocoronary bypass

Dale K. Mueller, MD, Bradford P. Blakeman, MD*, Jack Pickleman, MD

Department of Thoracic and Cardiovascular Surgery, Loyola University Medical Center, Maywood, Illinois USA

Accepted for publication April 9, 1992.

* Address reprint requests to Dr Blakeman, 2160 S First Ave, Maywood, IL 60153.

Many alternative bypass conduits for coronary revascularization have been used since the introduction of the saphenous vein. The internal mammary artery has demonstrated superior long-term patency rates compared with vein grafts. Other arterial grafts previously investigated include the right gastroepiploic artery, inferior epigastric artery, radial artery, and splenic artery. This case reports bypass using a free splenic artery and a pedicled right gastroepiploic artery, each with successful postoperative patency.




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