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Case Reports

Combined Internal Mammary Artery Graft in Coronary Bypass: 18-Year Follow-Up

^a Department of Cardiovascular Surgery, Sema Hospital, Istanbul, Turkey
^b Department of Cardiovascular Surgery, Florence Nightingale Hospital, Istanbul, Turkey

Accepted for publication March 19, 2009.

^_* Address correspondence to Dr Korkmaz, Sema Hospital Kalp Damar Cerrahisi Sahil yolu sk. No. 16 Dragos, Maltepe, stanbul, 34844, Turkey (Email: aakorkmaz{at}gmail.com).

Graft preference is a key point for long-term patency in coronary artery bypass grafting. We present a patient with multivessel coronary artery disease who underwent coronary artery bypass grafting 18 years ago. Revascularization of the left coronary system was performed by using a combined internal mammary artery (IMA) graft, which consisted of an end-to-end anastomosis of left IMA (in situ) and right IMA (free), with the interposition of a small piece of vein. A coronary angiography at the 18-year follow-up revealed patency of all sequential anastomoses with an enlarged combined IMA graft.