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Ann Thorac Surg 1996;61:1848-1849
© 1996 The Society of Thoracic Surgeons

How To Do It

Maximal Utilization of the Left Internal Mammary Artery for Coronary Bypass Grafting

Lawrence I. Bonchek, MD, Mark W. Burlingame, MD, Brad E. Vazales, MD, Edward F. Lundy, MD, PhD

Mid-Atlantic Heart Institute at Lancaster General Hospital, Lancaster, Pennsylvania

Accepted for publication January 8, 1996.

A technique is described for using the internal mammary artery to bypass the left anterior descending coronary artery and another adjacent coronary artery even when the alignment of the two vessels is not favorable for a conventional sequential graft. The distal end of the mammary artery is amputated and used to construct a Y graft to the anterior descending artery and to the secondary target vessel.




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