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Updated: Apr 1, 2026

Human Internal Mammary Artery IMA Transplantation and Stenting: A Human Model to Study the Development of In-Stent Restenosis
Published on: May 9, 2012
Internal mammary artery with side-branch
Sergii Galych1, Sergii Solomka1, Bogdan Batsak2
11 Department of Surgical Treatment of Ischemic Heart Disease, National Amosov's Institute of Cardiovascular Surgery AMS of Ukraine, Kiev, Ukraine.
Insights
This study demonstrates successful off-pump coronary artery bypass grafting of four arteries using a single left internal mammary artery, including its side-branch. This innovative approach utilized the mediastinal artery to achieve comprehensive revascularization with one vessel.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Grafting
Background:
- Coronary artery disease necessitates bypass grafting for revascularization.
- Traditional methods may involve multiple arterial grafts.
- The left internal mammary artery is a preferred graft conduit.
Abstract:
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.
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