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The Journal of Thoracic and Cardiovascular Surgery, Vol 87, 789-791, Copyright © 1984 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association


ARTICLES

Coronary revascularization in the presence of ascending aortic calcification: use of an internal mammary artery-saphenous vein composite graft

DA Murphy and CR Hatcher Jr

Complications arising from manipulation of the diseased ascending aorta constitute a significant portion of the morbidity and mortality of coronary revascularization. A case is described in which coronary revascularization was achieved by extension of the left internal mammary artery with a segment of reversed saphenous vein. The major advantage of this technique is that it obviates any instrumentation of the aorta or great vessels.


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