Complete myocardial revascularization with arterial grafts without using the mammary artery.
We report on the case of a 60-year-old male patient who developed a crescendo angina 9 years after a coronary artery bypass procedure. Coronary angiography revealed triple vessel disease. None of the internal mammary arteries were available and the saphenous veins had previously been stripped. A complete myocardial revascularization by means of arterial grafts was still achieved by using both the epigastric arteries, and an in situ right gastroepiploic artery.
Amrani
M
M
Department of Cardiovascular Surgery, University Hospital Saint-Luc, Brussels, Belgium.
el Khoury
G
G
Dion
R
R
D000009:Abdominal Muscles / Q000098:blood supply*; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001158:Arteries / Q000637:transplantation; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000379:methods*; D012086:Reoperation