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Ann Thorac Surg 1995;60:186-188
© 1995 The Society of Thoracic Surgeons
Departments of Surgery and Anesthesiology, Duke University Medical Center, Durham, North Carolina
Accepted for publication November 12, 1994.
Symptomatic anterior myocardial ischemia as a result of stenosis at the origin of the left internal mammary artery developed in a patient who underwent prior coronary artery bypass grafting using the left internal mammary artery as a conduit. Successful revascularization of the left anterior descending coronary artery was achieved using a reversed saphenous vein bypass graft from the left common carotid artery to the proximal internal mammary artery. This approach provided myocardial revascularization and avoided reoperative median sternotomy.
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