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Ann Thorac Surg 2000;69:641-642
© 2000 The Society of Thoracic Surgeons


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Deep circumflex iliac artery as a free arterial graft for myocardial revascularization

Gen-ya Yaginuma, MDa, Masahiro Sakurai, MDa, Taiichiro Meguro, MDa, Katsuya Ota, MDb, Kazuo Abe, MDb

a Division of Heart Institute, Sendai Kosei Hospital, Sendai, Japan
b Yamagata Prefectural Central Hospital, Yamagata, Japan

Address reprint requests to Dr Yaginuma, Division of Heart Institute, Department of Cardiovascular Surgery, Sendai Kosei Hospital, 4-15, Hirose-machi, Aoba-ku, Sendai 980-0873, Japan

When complete revascularization cannot be obtained with the internal thoracic artery and the other arterial grafts, the deep circumflex iliac artery (DCIA) may be an excellent alternative conduit. The deep circumflex iliac artery was used as a free graft for direct myocardial revascularization in 4 patients from January to July 1999. We describe our experience with this arterial conduit, review the anatomy of the artery, and present our harvesting technique.







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