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Case Reports
. 2009 Jun;87(6):e57-8.
doi: 10.1016/j.athoracsur.2009.03.100.

Combined internal mammary artery graft in coronary bypass: 18-year follow-up

Askin Ali Korkmaz  1 , Burak Onan, Selen Onan, Ahmet Ozkara, Mustafa Guden, Cihat Bakay
Affiliations
Case Reports

Combined internal mammary artery graft in coronary bypass: 18-year follow-up

Askin Ali Korkmaz et al. Ann Thorac Surg. 2009 Jun.

Abstract

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.

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