title: Internal mammary artery with side-branch.
abstract: We present the case of a 72-year-old man who underwent off-pump coronary artery bypass grafting of 4 coronary arteries with exclusive use of the left internal mammary artery with a side-branch (mediastinal artery). Before discharge from the hospital, contrast computed tomography angiography confirmed the patency of all 4 coronary grafts. Use of the mediastinal artery side-branch of the internal mammary artery allowed grafting of 4 coronary arteries using only one internal thoracic artery.
authors.affiliation: 1 Department of Surgical Treatment of Ischemic Heart Disease, National Amosov's Institute of Cardiovascular Surgery AMS of Ukraine, Kiev, Ukraine.
authors.forename: Sergii
authors.initials: S
authors.lastname: Galych
authors.affiliation: 1 Department of Surgical Treatment of Ischemic Heart Disease, National Amosov's Institute of Cardiovascular Surgery AMS of Ukraine, Kiev, Ukraine.
authors.forename: Sergii
authors.initials: S
authors.lastname: Solomka
authors.affiliation: 2 Department of Radiology, National Amosov's Institute of Cardiovascular Surgery AMS of Ukraine, Kiev, Ukraine.
authors.forename: Bogdan
authors.initials: B
authors.lastname: Batsak
authors.affiliation: 1 Department of Surgical Treatment of Ischemic Heart Disease, National Amosov's Institute of Cardiovascular Surgery AMS of Ukraine, Kiev, Ukraine.
authors.forename: Anatoliy
authors.initials: A
authors.lastname: Rudenko
authors.affiliation: 1 Department of Surgical Treatment of Ischemic Heart Disease, National Amosov's Institute of Cardiovascular Surgery AMS of Ukraine, Kiev, Ukraine.
authors.forename: Uriy
authors.initials: U
authors.lastname: Starodub
mesh_terms: D000368:Aged; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*
keywords: Coronary artery bypass; Coronary artery disease; Internal mammary-coronary artery anastomosis; Myocardial revascularization