Cardiovascular Surgery and Interventions 2015, Vol 2, Num 1 Page(s): 017-019
When should we re-cycle internal mammary artery in redo coronary artery bypass graft surgery?

Anıl Özen, Ertekin Utku Ünal, Emre Kubat, Sercan Tak, Başak Soran Türkcan, Ufuk Tütün, Cemal Levent Birincioğlu

Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey

Keywords: Coronary artery bypass graft; internal thoracic artery; surgery
A 56-year-old male patient was admitted to our hospital with unstable angina pectoris lasting for six hours. He underwent left internal mammary artery to left anterior descending artery bypass grafting two years ago. Coronary angiography revealed significant stenosis of the LIMA-LAD bypass. The LIMA was re-cycled and anastomosed to the first diagonal branch and the right internal mammary artery was harvested and anastomosed to the distal part of the stenotic region. The advantage of this operation is re-using the previous arterial graft which is essential for this young patient with a longer life expectancy.

DOI : 10.5606/e-cvsi.2015.297