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Case Reports
. 2021 Jun;111(6):e425-e427.
doi: 10.1016/j.athoracsur.2020.09.060. Epub 2020 Dec 9.

Is Internal Mammary to the Anterior Descending Always the Best Option?

Peter M Rodgers-Fischl  1 , Victor A Ferraris  1 , George Makdisi  2
Affiliations
Case Reports

Is Internal Mammary to the Anterior Descending Always the Best Option?

Peter M Rodgers-Fischl et al. Ann Thorac Surg. 2021 Jun.

Abstract

The left internal mammary artery (LIMA) is the gold standard conduit used to revascularize the left anterior descending artery and has consistently been shown to be associated with better survival, graft patency, and freedom from cardiac events compared with other used conduits. Evaluation of LIMA flow and anatomy is not routinely done by the interventional cardiologist while performing the left heart catheterization. We present a case where the LIMA was found to be the major blood supply to the left leg, which might have led to leg ischemia if the LIMA had been used as graft.

Keywords: Atherosclerosis; Cardiology/cardiologist; Collateral blood flow; Coronary artery disease; Coronary artery imaging; Peripheral vascular disease.

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Comment in

  • The Internal Thoracic Artery Remodeling.
    Manenti A, Roncati L, Manco G. Manenti A, et al. Ann Thorac Surg. 2022 Feb;113(2):694-695. doi: 10.1016/j.athoracsur.2021.02.075. Epub 2021 Mar 11. Ann Thorac Surg. 2022. PMID: 33716010 No abstract available.
  • Internal Thoracic Artery and Vascular Adaptations.
    Rodgers-Fischl PM, Makdisi G. Rodgers-Fischl PM, et al. Ann Thorac Surg. 2022 Feb;113(2):695. doi: 10.1016/j.athoracsur.2021.05.032. Epub 2021 Jun 5. Ann Thorac Surg. 2022. PMID: 34102180 No abstract available.