Revascularization of the internal mammary artery after coronary artery bypass grafting.

Gall, S A; Owen, C H; Clements, F M; McCann, R L · Ann Thorac Surg · 1995

case_report · Level V

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Abstract

Symptomatic anterior myocardial ischemia as a result of stenosis at the origin of the left internal mammary artery developed in a patient who underwent prior coronary artery bypass grafting using the left internal mammary artery as a conduit. Successful revascularization of the left anterior descending coronary artery was achieved using a reversed saphenous vein bypass graft from the left common carotid artery to the proximal internal mammary artery. This approach provided myocardial revascularization and avoided reoperative median sternotomy.

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