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Ann Thorac Surg 1999;67:1817-1818
© 1999 The Society of Thoracic Surgeons

How to Do It

A new method of myocardial revascularization with the radial artery

Oscar R. Aguero, MDa, José L. Navia, MDa, José A. Navia, MDa, Esteban Mirtzouian, MDa

a Department of Cardiovascular Surgery, San Camilo Clinic, Buenos Aires, Argentina

Accepted for publication January 4, 1999.

Address reprint requests to Dr Aguero, Department of Cardiovascular Surgery, San Camilo Clinic, Angel Gallardo 899, 1405 Buenos Aires, Argentina
e-mail: oaguero{at}intramed.net.ar

We present a new method of myocardial revascularization. The radial artery is used in combination with the left internal mammary artery, thereby providing three distal end-to-side anastomoses to the left anterior descending coronary artery and other sites as determined by the coronary artery lesions. Arterial conduits form an anastomotic network between the left internal mammary artery and the radial artery in a horseshoe pattern. Three coronary arteries are revascularized by two arterial conduits in the left coronary system.




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