Preparation of the internal mammary artery graft

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Internal mammary artery graft false aneurysm.

A 59-year-old male patient presented with a pulsating mass at the left sternal edge weeks after a CABG procedure. CTshowed a false aneurysm of the LIMA (Fig. 1), confirmed by angiography (Fig. 2a). The leakage was treated using a 16-by-3.5-mm Jostent leading to complete lesion thrombosis (Fig. 2b). Fig. 1. Contrast enhanced CT shows a 6 cm diameter left internal mammary artery false aneurysm. F...

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DOI: 10.5935/abc.20140160 An 80-year-old man was admitted to our hospital because of an acute coronary syndrome. He had undergone coronary artery bypass grafting (CABG) 12 years ago, which involved a left internal mammary artery (LIMA) graft to the left anterior descending coronary artery. Direct LIMA injection revealed an arteriovenous fistula between the distal portion of a grossly dilated LI...

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Transthoracic Doppler echocardiography of the left internal mammary artery graft.

Assessment of the left internal mammary artery (LIMA) graft patency currently requires invasive investigation through coronary angiography. In the last years the successful application of noninvasive Doppler spectrum analysis has been reported for patency assessment of the LIMA graft after myocardial revascularization. Echocardiography is considered to be a sensitive noninvasive screening modal...

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Beta-adrenoceptor-mediated responsiveness of human internal mammary artery

The internal mammary artery (IMA) is currently the preferred conduit for myocardial revascularization. However, pre-operative vasospasm and a hypoperfusion state during maximal exercise may limit its use as a bypass graft. The mechanism of spasm has not been clearly defined. Since β-adrenoceptor activation plays a major role in vasorelaxation, the present study was carried out to investigate th...

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Taking the transfemoral approach when performing a left internal mammary artery (LIMA) graft intervention is generally recognized as posing significant technical challenges. However, little has been reported on alternative transradial approaches to LIMA. In this report, we present our experience in a patient who had anastomosis-site LIMA graft stenosis and was successfully treated with direct s...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1989

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)34463-0