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John J. Collins, Jr.
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J Thorac Cardiovasc Surg 1994;107:1377-1378
© 1994 Mosby, Inc.


LETTERS TO THE EDITOR

Triple sequential grafts using the internal mammary artery: An angiographic and short-term follow-up study

Jeffrey P. Gold, MD, Richard J. Shemin, MD, Verdi J. DiSesa, MD, Lawrence H. Cohn, MD, John J. Collins, Jr., MD

Department of Cardiothoracic Surgery
The New York Hospital/Cornell Medical Center
New York, NY 10021

To the Editor:

We read with interest the JOURNAL article concerning multiple distal anastomoses with internal mammary artery conduitsGo 1 Although we agree with the authors' conclusions, we would like to point out that in 1985 we published our experience with a single patient undergoing five distal anastomoses on a single internal mammary artery conduit with an in situ and free sequential grafting technique.Go 2 In this communication we supplied a description, a schematic drawing of the operative technique used, and a frame from a postoperative cineangiogram depicting filling of all five distal coronary vessels. Although the techniques are somewhat different, the potential for this type of multiple-vessel revascularization with arterial conduit is underscored.

We would like to compliment the group on their large and excellent experience with multiple-vessel arterial revascularization. We emphatically support their conclusion that multivessel internal mammary artery grafting is not only feasible but desirable and can be safely used.

References

  1. van Sterkenburg SMM, Ernst SMPG, de la Rivière AB, et al. Triple sequential grafts using the internal mammary artery: an angiographic and short-term follow-up study. J THORAC CARDIOVASC SURG 1992;104:60-5.[Abstract]
  2. Gold JP, Shemin RJ, DiSesa VJ, Cohn LH, Collins JJ Jr. Brief communications: multiple-vessel coronary revascularization with combined in situ and free sequential internal mammary arteries. J THORAC CARDIOVASC SURG 1985;90:301-3.[Abstract]



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This Article
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Lawrence H. Cohn
John J. Collins, Jr.
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