Document Detail


Crossed double internal mammary-to-coronary artery grafts.
MedLine Citation:
PMID:  1259565     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Crossed double internal mammary (IMA)-coronary artery grafts (the left to the left anterior descending artery [LAD], the right to a diagonal or marginal coronary branch) were used without mortality and with excellent functional results in 36 patients requiring separate grafts to these vessels (22% of patients undergoing coronary revascularization). Flows were 70 +/- 9 ml/min in the left and 50 +/- 7 ml/min in the right IMA, respectively. All revisualized grafts remained patient. The location and direction of the LAD and of diagonal and marginal branches allow excellent alignment of these shorter and wider double IMA grafts. The left IMA is the graft of choice for the LAD, and the right IMA is the choice for a high diagonal or early arising marginal branch that requires an additional separate graft. The right IMA is not satisfactory for right coronary or LAD bypass.
Authors:
A S Geha
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  111     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1976 Mar 
Date Detail:
Created Date:  1976-05-25     Completed Date:  1976-05-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  289-92     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Coronary Disease / surgery*
Follow-Up Studies
Humans
Internal Mammary-Coronary Artery Anastomosis / methods*,  mortality
Male
Middle Aged
Myocardial Revascularization / methods*
Postoperative Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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