Combined internal mammary artery graft in coronary bypass: 18-year follow-up.
Graft preference is a key point for long-term patency in coronary artery bypass grafting. We present a patient with multivessel coronary artery disease who underwent coronary artery bypass grafting 18 years ago. Revascularization of the left coronary system was performed by using a combined internal mammary artery (IMA) graft, which consisted of an end-to-end anastomosis of left IMA (in situ) and right IMA (free), with the interposition of a small piece of vein. A coronary angiography at the 18-year follow-up revealed patency of all sequential anastomoses with an enlarged combined IMA graft.
Korkmaz
Askin Ali
AA
Department of Cardiovascular Surgery, Sema Hospital, Istanbul, Turkey. aakorkmaz@gmail.com
Onan
Burak
B
Onan
Selen
S
Ozkara
Ahmet
A
Guden
Mustafa
M
Bakay
Cihat
C
D000368:Aged; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D013997:Time Factors