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Ann Thorac Surg 1996;62:1865-1866
© 1996 The Society of Thoracic Surgeons

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How To Do It

Innominate and Subclavian Arteries as an Inflow of Free Arterial Graft

Department of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan, and Cattedra di Cardiochirurgia, Università Cattolica del Sacro Cuore, Roma, Italy

Accepted for publication July 17, 1996.

To find a suitable inflow site for free arterial grafts in myocardial revascularization, I used the innominate artery for the radial artery graft in 4 patients and the left subclavian artery for three radial grafts and one free gastroepiploic artery graft. All 8 patients were alive, and all five restudied grafts were all patent. The innominate and subclavian arteries are suitable in terms of better wall matching and avoidable aortic clamping in cases of atherosclerotic ascending aorta.

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