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Eur J Cardiothorac Surg 2001;20:1235-1236
© 2001 Elsevier Science NL

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Retrocaval in situ RIMA for distal marginal arteries grafting

Department of Cardiac Surgery, Centre Cardiologique du Nord, 32–36 rue des Moulins Gémeaux, 93200 St. Denis, France

Received 12 June 2001; received in revised form 22 August 2001; accepted 31 August 2001.

Corresponding author. Tel.: +33-61-7668800; fax: +33-14-9334118
e-mail: alattar{at}ifrance.com

Abstract

The length of the in situ right internal mammary artery (RIMA) often restricts its use as a graft to distal marginal arteries. We describe herein a retrocaval supra-azygous extra-pleural passage of the RIMA that allows a significant gain in length. We report our experience in 30 patients with distal marginal lesions or with large hearts.

Key Words: Internal mammary artery • Retrocaval • Coronary artery bypass grafting

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