title: Proximal internal mammary in situ graft and distal coronary-coronary graft.
abstract: When a left anterior descending coronary artery passes over the cardiac apex and presents with 2 stenoses, 1 proximal and 1 distal, the available bypass conduit often is too short to enable both the anastomosis below the distal stenosis and the sequential anastomosis on the arterial segment between the 2 stenoses. In this circumstance, we graft the internal mammary artery in situ onto the proximal segment of the left anterior descending coronary artery, then use a short residual segment of the internal mammary to perform a coronary-coronary bypass of the distal stenosis. This technique also spares segments of the internal mammary for other purposes. We present our experience, together with angiographic evidence of long-term patency.
authors.affiliation: Cattedra di Cardiochirurgia, Universitá degli Studi di Sassari, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Barboso
authors.forename: F
authors.initials: F
authors.lastname: Rusticali
mesh_terms: D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*