Bilateral internal mammary arteries: evidence and technical considerations.

TitleBilateral internal mammary arteries: evidence and technical considerations.
Publication TypeJournal Article
Year of Publication2013
AuthorsVallely MP, Edelman JJB, Wilson MK
JournalAnnals of cardiothoracic surgery
Volume2
Issue4
Pagination570-7
Date Published2013 Jul
Abstract

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).

DOI10.3978/j.issn.2225-319X.2013.06.03
Alternate JournalAnn Cardiothorac Surg