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Ann Thorac Surg 1999;67:1485-1487
© 1999 The Society of Thoracic Surgeons

Case Reports

Extrathoracic subclavian internal thoracic artery bypass grafting

Eduardo A. Tovar, MDa,b

a Department of Cardiothoracic Surgery, St. Jude Medical Center, Fullerton, California, USA
b University of California, Irvine Medical Center, Orange, California, USA

Accepted for publication October 27, 1998.

Address reprint requests to Dr Tovar, 100 E. Valencia Mesa Dr, Suite 301, Fullerton, CA 92835
e-mail: ETovarMD{at}aol.com

Interval development of a significant stenosis at the origin of the left internal thoracic artery (LITA) after this vessel has been used to revascularize the anterior descending coronary artery may be an indication for reoperation. We present an extrathoracic approach to bypass the proximal segment of the LITA that allows patients with this lesion a quick recovery, short hospital stay, and early resumption of normal activity.






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Copyright © 1999 by The Society of Thoracic Surgeons.