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Ann Thorac Surg 2004;78:1103-1104
© 2004 The Society of Thoracic Surgeons

How to do it

The mammary loop: How to do an adjustable "Y" graft with the left internal thoracic artery

Lucian Stoica, MD, PhD*,a, Sidney Chocron, MD, PhDa, Pierre-Emmanuel Falcoz, MDa, Djamel Kaili, MDa, Joseph-Philippe Etievent, MDa

a Department of Thoracic and Cardiovascular Surgery, Hôpital Jean Minjoz, Besançon, France

Accepted for publication August 1, 2003.

* Address reprint requests to Dr Stoica, Department of Thoracic and Cardiovascular Surgery, Hôpital Jean Minjoz, 3 Bd Fleming, Besançon, France 25000
l.stoica{at}voila.fr

We present a technique that permits the grafting of two vessels with the left internal thoracic artery when a sequential graft cannot be performed. The left internal mammary artery is anastomosed to itself resulting in a loop that will be cut open at the time of the coronary anastomosis.






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