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Ann Thorac Surg 1999;67:541-543
© 1999 The Society of Thoracic Surgeons

Case Reports

Healing of the intimal dissection of the internal thoracic artery graft

Yoshihiko Mochizuki, MDa, Yoshitaka Okamura, MDa, Hiroshi Iida, MDa, Hideaki Mori, MDa, Koichiro Shimada, MDa

a Department of Cardiothoracic Surgery, Dokkyo University School of Medicine, Tochigi, Japan

Accepted for publication July 21, 1998.

Address reprint request to Dr Mochizuki, Department of Cardiothoracic Surgery, Dokkyo University School of Medicine, 880 Kitakobayashi Mibucho, Shimotsugagun, Tochigi, 321-0293 Japan

We report healing of the intimal dissection of an internal thoracic artery graft. Triple coronary artery bypass grafting was performed using left internal thoracic artery and saphenous vein grafts. One month after operation, the intimal dissection of the internal thoracic artery graft was clearly visible by coronary angiography; however, after 1 year of only medical treatment consisting of warfarin, ticlopidine, and nitrate, the intimal dissection was undetectable by coronary angiography.






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