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The Annals of Thoracic Surgery, Vol 53, 513-516, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Internal thoracic artery grafting for congenital coronary malformations

S Kitamura, K Kawachi, T Nishii, S Taniguchi, K Inoue, K Mizuguchi and M Fukutomi
Department of Surgery III, Nara Medical College, Japan.

We report 2 patients with congenital coronary anomalies (atresia of left main coronary artery and anomalous origin of the left coronary artery from the pulmonary artery) successfully treated with single or double internal thoracic artery grafting. Because the internal thoracic artery has a potential for circumferential as well as longitudinal development, and because of the uncertainty of ultimate vein graft function, we believe that the internal thoracic artery is the best graft material for the treatment of congenital coronary malformations requiring bypass operation in children, adolescents, or even in adults.

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