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The use of internal mammary vein in coronary artery surgery
Author(s) -
Dallan Luis Alberto O.,
Dallan Luis Roberto P.,
Neves Filho Antonio,
Jatene Fabio B.
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15482
Subject(s) - medicine , gastroepiploic artery , revascularization , mammary artery , cardiology , artery , coronary artery disease , vein , myocardial revascularization , surgery , right gastroepiploic artery , radial artery , saphenous vein graft , great saphenous vein , myocardial infarction , bypass grafting
Arterial revascularization, and in particular, left internal mammary artery (LIMA), has shown to improve survival of patients with coronary artery disease. Complete revascularization often requires the use of other grafts and saphenous vein graft is still the most common conduit used. Several other types of grafts have been utilized during revascularization, including the radial artery and gastroepiploic artery. It is recognized that its venous structure can change when submitted to long‐term blood pressure regimen. We, herein, report left internal mammary vein (LIMV) utilized as a novel conduit for coronary artery revascularization, that was patent after 6 years. LIMV is an easy graft to harvest if the LIMA is dissected as a pedicle. The long‐term patency of LIMV is unknown, but its usage could be suggested for elderly patients with peripheral vascular disease, when long graft patency is not required