Revascularization of the internal mammary artery after coronary artery bypass grafting.
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.
Gall
S A
SA
Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Owen
C H
CH
Clements
F M
FM
McCann
R L
RL
D000368:Aged; D001026:Coronary Artery Bypass; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D009204:Myocardial Revascularization / Q000379:methods*; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation*