This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Total and Complete Arterial Revascularization Using Bilateral IMAs
A 65-year-old man was admitted with acute inferior wall myocardial infarction, and echo revealed moderate left ventricular dysfunction. He was stabilized on medical treatment. An angiogram showed severe triple vessel disease, and the authors recommended anaortic CABG using bilateral internal mammary arteries. Both internal mammary arteries were harvested and partially skeletonized. LIMA-RIMA composite Y grafts were constructed using 8-0 prolene sutures. The left atrial appendage was plicated to facilitate graft placement. The following anastomoses were performed: the RIMA was placed to the ramus, the OM1, and the PDA; the LIMA was placed to diagonal 1, diagonal 2, and the LAD. In effect, a total arterial complete revascularization was performed using bilateral internal mammary arteries.