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CASE STUDIES |
Department of Cardio-Thoracic Surgery, University of Thrace, Alexandroupolis, Greece
For reprint information contact: Dimitrios Mikroulis, MD, Tel: 30 25 5107 4166, Fax: 30 25 5107 4164, Email: dmikrou{at}med.duth.gr, Department of Cardio-Thoracic Surgery, General University Hospital of Alexandroupolis, Alexandroupolis P.C. 68100, Greece.
Two cases of internal thoracic artery side-branch ligation in patients with recurrent angina after coronary bypass are reported with long-term follow-up. Ligation was performed with clips via a left thoracotomy. Treadmill stress testing after 3 and 4 years did not provoke any myocardial ischemia. These findings suggest that an unligated side-branch can produce a steal phenomenon.
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