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Eur J Cardiothorac Surg 1998;14:639-642
© 1998 Elsevier Science NL

Case report

Internal mammary artery to coronary artery bypass in paediatric cardiac surgery

Department of Cardiothoracic Surgery, Glenfield Hospital, Groby Road, Leicester, LE3 9QP UK

Received 28 July 1998; received in revised form 19 August 1998; accepted 1 September 1998.

Corresponding author. Tel.: +44-116-287-1471; fax: +44-116-258-3950.

The internal mammary artery is regarded as the optimal conduit for coronary artery bypass grafting in adults. Use of this conduit in paediatric surgery is rare and has been reported mainly in patients with Kawasaki's disease. We report five patients who required internal mammary-coronary artery grafting due to adverse anatomical disposition of the coronary artery. In two cases an internal mammary graft was required during correction of transposition of the great arteries. The other cases involved correction of a left coronary artery arising anomalously from the pulmonary artery. Late angiography shows satisfactory growth and patency of the conduits.

Key Words: Internal mammary artery • Cardiac surgery

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