"H" graft from the right internal mammary artery to the left anterior descending coronary artery: An alternative strategy in reoperative grafting of the LAD territory

Marco Ricci, Kurt Von Fricken, Tomas A. Salerno, Thomas Z. Lajos

Research output: Contribution to journalArticle

Abstract

Reoperative grafting of the left anterior descending (LAD) coronary artery or its diagonal branches can be accomplished through a left anterior small thoracotomy (LAST) on the beating heart using the left internal mammary artery (LIMA) as a conduit. Patients in whom the LIMA has been used previously, however, are generally excluded from this approach unless an alternative technique is utilized. We describe a new technique applicable to these patients that consists of grafting the LAD through a LAST approach and connecting the graft to the right internal mammary artery (RIMA).

Original languageEnglish (US)
Pages (from-to)83-85
Number of pages3
JournalJournal of cardiac surgery
Volume16
Issue number1
DOIs
StatePublished - Jan 1 2001

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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