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Roberto Battellini
Michael A. Borger
Friedrich W. Mohr
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Ann Thorac Surg 2003;75:1335-1336
© 2003 The Society of Thoracic Surgeons

How to do it

Extending the in situ right internal mammary artery graft with retrocaval positioning

Roberto Battellini, MD*a, Michael A. Borger, MD, PhDa, Carlos Climente, MDb, Friedrich W. Mohr, MD, PhDa

a Clinic for Heart Surgery, Heart Center, University of Leipzig, Leipzig, Germany
b Hospital Privado de Comunidad, Mar del Plata, Argentina

Accepted for publication September 6, 2002.

* Address reprint requests to Dr Battellini, Heart Center, Clinic for Heart Surgery, University of Leipzig, Strumpellstrasse 39, 04289 Leipzig, Germany
e-mail: battr{at}medizin.uni-leipzig.de

Bilateral internal mammary artery grafting is associated with improved long-term patient outcomes. In situ right internal mammary artery grafting of the obtuse marginal artery, through the transverse sinus, is often limited by conduit length. We describe the technique of retrocaval positioning of the right internal mammary artery graft to extend its functional length for grafting of the circumflex territory. With careful surgical technique, this procedure can be performed safely during routine coronary bypass operations.




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Arterial graft extension with radial artery: a method of total arterial revascularization
Eur. J. Cardiothorac. Surg., October 1, 2004; 26(4): 839 - 841.
[Abstract] [Full Text] [PDF]


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