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[Experience of coronary artery bypass grafting using internal mammary artery: operative results with 102 cases during

From April 1985 to March 1988, internal mammary-to-coronary artery anastomosis was performed in 102 patients. One postoperative death and one hospital death occurred. Early postoperative arteriography showed good patency rate. The early patency rate was 99% in 53 vein grafts, 95 in 100 internal mammary artery grafts and 75% in 4 gastroepiploic artery grafts. The main obstacles to coronary revascularization with internal mammary artery have been the delicate nature of the arterial grafts and difficult technique in anastomosis. We used the modified "No-Touch Technique" reported by Cheanvechai. Our technique is available to avoid trauma during coronary revascularization with arterial graft and to anastomose correctly.

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