Is Internal Mammary to the Anterior Descending Always the Best Option?

Peter M. Rodgers-Fischl, Victor A. Ferraris, George Makdisi

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

The left internal mammary artery (LIMA) is the gold standard conduit used to revascularize the left anterior descending artery and has consistently been shown to be associated with better survival, graft patency, and freedom from cardiac events compared with other used conduits. Evaluation of LIMA flow and anatomy is not routinely done by the interventional cardiologist while performing the left heart catheterization. We present a case where the LIMA was found to be the major blood supply to the left leg, which might have led to leg ischemia if the LIMA had been used as graft.

Original languageEnglish
Pages (from-to)e425-e427
JournalAnnals of Thoracic Surgery
Volume111
Issue number6
DOIs
StatePublished - Jun 2021

Bibliographical note

Publisher Copyright:
© 2021 The Society of Thoracic Surgeons

Keywords

  • Atherosclerosis
  • Cardiology/cardiologist
  • Collateral blood flow
  • Coronary artery disease
  • Coronary artery imaging
  • Peripheral vascular disease

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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