Branched internal mammary conduit permits non-sequenced total arterial revascularization

Recent trends in cardiac surgery have encouraged total arterial coronary revascularization, citing advantages in long-term patency and overall mortality. Often relying on sequenced, composite, and free-graft strategies, total arterial coronary revascularization is limited by conduit availability and...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2021-07, Vol.29 (6), p.552-554
Main Authors: Baldwin, Andrew CW, Tolis, George
Format: Article
Language:English
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Summary:Recent trends in cardiac surgery have encouraged total arterial coronary revascularization, citing advantages in long-term patency and overall mortality. Often relying on sequenced, composite, and free-graft strategies, total arterial coronary revascularization is limited by conduit availability and surgical complexity. We present the use of bilateral internal mammary artery grafts to achieve nonsequential 3-vessel total arterial coronary revascularization using the preserved distal bifurcation of the right internal mammary artery. Utilization of distal internal mammary artery branches should be considered a viable strategy in select patients and can broaden the opportunities for total arterial coronary revascularization in patients with multivessel coronary disease.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492320975952