title: Combined internal mammary artery graft in coronary bypass: 18-year follow-up.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Sema Hospital, Istanbul, Turkey. aakorkmaz@gmail.com
authors.forename: Askin Ali
authors.initials: AA
authors.lastname: Korkmaz
authors.forename: Burak
authors.initials: B
authors.lastname: Onan
authors.forename: Selen
authors.initials: S
authors.lastname: Onan
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ozkara
authors.forename: Mustafa
authors.initials: M
authors.lastname: Guden
authors.forename: Cihat
authors.initials: C
authors.lastname: Bakay
mesh_terms: 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