Department of Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia.
Ann Thorac Surg. 2012 Jul;94(1):269-71. doi: 10.1016/j.athoracsur.2011.12.029.
The established superiority of the internal thoracic artery as a coronary arterial conduit has led to its mandatory use in coronary artery bypass grafting surgery. Therefore, the damage of the internal thoracic artery during harvesting is an abysmal complication, after which the conduit is usually discarded. An alternative approach is presented here, which has allowed us to use the distal two thirds of the proximally damaged left internal thoracic artery as an in situ (with retrograde blood supply from superior epigastric and musculophrenic arteries), reversed arterial conduit to revascularize the left anterior descending coronary artery.
内乳动脉作为冠状动脉移植物的优越性已得到确立，这导致其在冠状动脉旁路移植术中被强制使用。因此，在采集过程中对内乳动脉造成的损伤是一种灾难性的并发症，之后通常会丢弃该移植物。这里提出了一种替代方法，使我们能够将近端受损的左内乳动脉的近段三分之二用作原位（由胃上动脉和肌膈动脉逆行供血）的反向动脉移植物，以重新给左前降支冠状动脉供血。
