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Eur J Cardiothorac Surg 2006;30:566
© 2006 Elsevier Science NL

Letter to the Editor

Y-graft and proximal LIMA flow adaptability: the surgical wisdom of iatrogenics

Faranak Kargar, Mathias Aazami*

Shahid Rejaei Heart Hospital, Melat Park, Tehran, Iran

Received 31 March 2006; accepted 1 June 2006.

* Corresponding author. Tel.: +98 912 29 74 380. (Email: mathias.aazami@laposte.net).

Key Words: Myocardial revascularisation • Left internal thoracic artery • Composite arterial grafts

The first 20% of the full text of this article appears below.

Through their recent article, Lemma et al. [1] reported gratifying adaptability to the flow of proximal LIMA when using Y-graft revascularisation, corroborating previous investigation in this field [2], and on which the authors should be congratulated.

Although the authors concluded that the distal flow of LIMA is similar between Y-graft and single graft groups, exclusive Y-graft revascularisation may raise concerns over attendant physiological disturbances afflicted to the integrated perfusion of coronary systems and their interplay. Apart from successfully measuring the relative flow and demonstrating technical feasibility, the exclusive T- or Y-graft nonetheless . . . [Full Text of this Article]




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Home page
 Eur. J. Cardiothorac. Surg.Home page
M. Lemma and C. Antona
Reply to kargar and aazami.
Eur. J. Cardiothorac. Surg., September 1, 2006; 30(3): 567 - 567.
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