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Kosmas Tsakiridis
Vassilios Didilis
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Right arrow Coronary disease
Asian Cardiovasc Thorac Ann 2007;15:339-341
© 2007 Asia Publishing EXchange Ltd

CASE STUDIES

Internal Thoracic Artery Side Branch Ligation for Post Coronary Surgery Ischemia

Kosmas Tsakiridis, MD, Dimitrios Mikroulis, MD, Vassilios Didilis, MD, Georgios Bougioukas, MD

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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Copyright © 2007 by the Asia Publishing EXchange Ltd.