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Asian Cardiovasc Thorac Ann 2006;14:e33-e34
© 2006 Asia Publishing EXchange Ltd

CASE STUDIES

Coronary Artery Bypass Grafting Using a Bifurcated Internal Thoracic Artery

Satoshi Numata, MD, Yuichiro Murayama, MD, Osamu Sakai, MD, Keitaro Koushi, MD

Department of Cardiovascular Surgery, Kyoto First Red Cross Hospital, Kyoto, Japan

For reprint information contact: Satoshi Numata, MD Tel: 81 75 561 1121 Fax: 81 75 561 6308 Email: snumat{at}yahoo.co.jp, Department of Cardiovascular Surgery, Kyoto First Red Cross Hospital, 15-749 Honmachi, Higashiyama, Kyoto 605-0981, Japan.

Coronary artery bypass grafting was performed successfully on a patient by anastomosing the left internal thoracic artery and its pericardiacophrenic branch to the obtuse marginal and the posterior descending coronary artery, respectively, to form a Y graft. Preoperative angiography of the internal thoracic artery had revealed the presence of an unusually large pericardiacophrenic branch almost the size of the main trunk, which allowed us to plan for bifurcated artery grafting.






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