Reoperative revascularization of a left internal mammary artery ostial stenosis.
A severe ostial stenosis of the left internal mammary artery graft was responsible for unstable angina in a patient with a previous coronary artery bypass graft. Successful revascularization of the lesion was achieved with a subclavian artery-to-left internal mammary artery bypass using a saphenous vein conduit. This procedure was performed through a left thoracotomy incision to avoid potential hazards of a redo median sternotomy.
Nguyen
D Q
DQ
Division of Cardiovascular and Thoracic Surgery, University of Minnesota Hospital and Clinic, Minneapolis, USA.
Bolman
R M
RM
Park
S J
SJ
D000789:Angina, Unstable / Q000209:etiology; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000379:methods*; D012086:Reoperation; D013348:Subclavian Artery / Q000601:surgery; D013908:Thoracotomy