Objective: The development of a bronchopleural fistula is a devastating complication after lung resection. We describe a new method of buttressing the closure of the stump in diabetic patients using a pedicled internal mammary artery buttress flap to avoid a bronchopleural fistula. Methods: An internal mammary pedicled flap was used in 14 diabetic patients of lung resection to cover the bronchi...

Electrocardiography was carried out during hypoxemia and graded exercise tests before and at intervals between 2 and 20 months after attempts to revascularize the heart by internal mammary artery implantation in 44 patients with angiographically documented coronary disease and angina pectoris. Eleven patients had single vessel disease; the right coronary was involved in seven of these patients....

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...

An improved technique of free internal mammary artery (IMA) to ascending aorta anastomosis for coronary bypass is described. A small patch vein with a suitable side branch or branches is interposed, connecting the proximal end of a detached IMA to the ascending aorta. A single or double free IMA alone or in combination with an additional saphenous vein graft was performed in 77 patients. A tota...