title: How opening two chronic total occlusions may be easier than just one.
abstract: Recanalization of chronic total occlusions (CTOs) via grafts has been described previously. However, the insertion of the graft into the distal vessel is often characterized by an unfavorable entry angle which renders an antegrade approach challenging. In the present case, we describe how retrograde recanalization of the proximal right coronary artery (RCA) via a right internal mammary artery graft facilitated antegrade revascularization of the CTO of the RCA.
authors.affiliation: St Thomas' Hospital, Cardiovascular Division, BHF Centre of Excellence, King's College London, London, United Kingdom. andreas.indermuehle@kcl.ac.uk
authors.forename: Andreas
authors.initials: A
authors.lastname: Indermuhle
authors.forename: Martyn
authors.initials: M
authors.lastname: Thomas
authors.forename: Simon
authors.initials: S
authors.lastname: Redwood
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D002908:Chronic Disease; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D054855:Drug-Eluting Stents; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D016896:Treatment Outcome