Galych Sergii, Solomka Sergii, Batsak Bogdan, Rudenko Anatoliy, Starodub Uriy
1 Department of Surgical Treatment of Ischemic Heart Disease, National Amosov's Institute of Cardiovascular Surgery AMS of Ukraine, Kiev, Ukraine.
2 Department of Radiology, National Amosov's Institute of Cardiovascular Surgery AMS of Ukraine, Kiev, Ukraine.
Asian Cardiovasc Thorac Ann. 2017 Mar;25(3):210-212. doi: 10.1177/0218492315607150. Epub 2016 Jul 20.
We present the case of a 72-year-old man who underwent off-pump coronary artery bypass grafting of 4 coronary arteries with exclusive use of the left internal mammary artery with a side-branch (mediastinal artery). Before discharge from the hospital, contrast computed tomography angiography confirmed the patency of all 4 coronary grafts. Use of the mediastinal artery side-branch of the internal mammary artery allowed grafting of 4 coronary arteries using only one internal thoracic artery.