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Bilateral internal mammary arteries: evidence and technical considerations.
|Title||Bilateral internal mammary arteries: evidence and technical considerations.|
|Publication Type||Journal Article|
|Year of Publication||2013|
|Authors||Vallely MP, Edelman JJB, Wilson MK|
|Journal||Annals of cardiothoracic surgery|
|Date Published||2013 Jul|
Bilateral internal mammary artery (BIMA) grafts are used for coronary revascularisation by only a minority of surgeons, despite a growing body of evidence suggesting improved survival when compared to use of only one internal mammary artery with additional saphenous vein grafts. Herein we review the evidence supporting revascularisation with BIMA and suggest reasons why the majority of surgeons use only one internal mammary artery. We discuss technical considerations, various graft combinations and the use of BIMA to facilitate anaortic off-pump coronary artery bypass (OPCAB).
|Alternate Journal||Ann Cardiothorac Surg|