The Annals of Thoracic Surgery, Vol 31, 370-372, Copyright © 1981 by The Society of Thoracic Surgeons
Internal mammary artery-saphenous vein composite conduit: an alternative for the proximal coronary anastomosis
R Brodman and G Robinson
A patient who had previously undergone saphenous vein bypass grafting was
seen with recurrent angina requiring reoperation. At the second operation,
technical problems with the ascending aorta ultimately excluded its use for
the proximal anastomosis for the second of two bypass grafts. Anastomosis
of the left internal mammary artery to the proximal end of the saphenous
vein graft successfully resolved the problem.