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Complex Arterial Grafts: Clinical Results

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Arterial Grafting for Coronary Artery Bypass Surgery

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32.7 Conclusion

The BIMA Y graft gives the same early and late clinical and angiographic results as BIMA in situ, but the Y graft can produce a higher number of arterial anastomoses. The radial artery can be used from both the ascending aorta and the internal mammary artery. We prefer to use the ascending aorta as the blood source in the case of moderate stenosis of the target coronary artery. In the case of high runoff, the radial artery can be grafted from the internal mammary artery and especially in the case of lateral wall revascularization. The inferior epigastric artery is a good choice in the case of lengthening of the internal mammary artery.

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Author information

Authors and Affiliations

  1. Division of Cardiac Surgery, European Hospital, Rome, Italy

    A. M. Calafiore MD

  2. San Camillo de Lellis Hospital, G. D’Annunzio University, Chieti, Italy

    M. Di Mauro MD

Authors
  1. A. M. Calafiore MD
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  2. M. Di Mauro MD
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Editor information

Editors and Affiliations

  1. Oregon Health and Science University, USA

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  2. Cardiovascular Research, Albert Starr Academic Center for Cardiac Surgery, Providence Heart and Vascular Institute, Portland, Oregon, USA

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  3. Department of Cardiac Surgery, The Central Hospital of Wuhan, China

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  4. Wuhan Heart Institute, The Central Hospital of Wuhan, China

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  5. Cardiovascular Surgical Research, The Chinese University of Hong Kong, Hong Kong

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

  6. The University of Hong Kong, Hong Kong

    Guo-Wei He MD, PhD, DSc (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery) (Clinical Professor of Surgery, Director, Cardiac Surgeon-in-Chief, Research Professor of Surgery and Chair of Cardiothoracic Surgery)

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© 2006 Springer-Verlag Berlin Heidelberg

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Calafiore, A.M., Di Mauro, M. (2006). Complex Arterial Grafts: Clinical Results. In: He, GW. (eds) Arterial Grafting for Coronary Artery Bypass Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30084-8_32

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  • DOI: https://doi.org/10.1007/3-540-30084-8_32

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-30083-0

  • Online ISBN: 978-3-540-30084-7

  • eBook Packages: MedicineMedicine (R0)

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