European Journal of Cardio-Thoracic Surgery, Vol 8, 283-284, Copyright © 1994 by European Association for Cardio-thoracic Surgery
Complete myocardial revascularization with arterial grafts without using the mammary artery
M Amrani, G el Khoury and R Dion
Department of Cardiovascular Surgery, University Hospital Saint-Luc, Brussels, Belgium.
We report on the case of a 60-year-old male patient who developed a
crescendo angina 9 years after a coronary artery bypass procedure. Coronary
angiography revealed triple vessel disease. None of the internal mammary
arteries were available and the saphenous veins had previously been
stripped. A complete myocardial revascularization by means of arterial
grafts was still achieved by using both the epigastric arteries, and an in
situ right gastroepiploic artery.