ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Combined Mammaria Interna Artery for Multivessel Coronary Artery Bypass Grafting
Cihat BAKAY, Atıf AKÇEVİN, Kaya SÜZER, Tufan PAKER, Halil TÜRKOĞLU, Belhhan AKPINAR, Aydın AYTAÇ, Cemi DEMİROĞLU
İ.Ü. Kardiyoloji Enstitüsü, Kalp-Damar Cerrahisi Ana Bilim Dalı, Haseki, İstanbul
Five patients with multiple-vessel coronary artery disease underwent isolated coronary artery bypass grafting with a tecnique involving both internal mammary arteries and a small piece of interposed saphenous vein. The combined internal mammary artery grefts were used for seqential grafting. A total of 20 anastomoses were performed (average number, 4 anastomoses per patient). There were no operative deaths. Postoperative complications included reoperation for bleeding in 1 patient and diaphragmatic dysfunction in another. Postoperative coronary angiograhy 2 days before discharge (mean time, 10 days postoperatively) revealed that all the sequential anastomoses with the combined IMA graft were patent. Exercise tolerance tests performed 3 and 11 months postoperatively indicated excellent results and no ischemia. Based on this experience, we conlclude that this method appears promising for multivessel coronary artery bypass grafting.
Viewed : 8746
Downloaded : 1965