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Internal Mammary Artery-saphenous Vein Y Anastomosis in Coronary Artery Bypass Grafting - Is there a Possibility of
Sathish Kumar1, Pratik Pandey2
1Jaiprakash Hospital and Research Centre, Rourkela, Odisha, India.
Summary
Total arterial grafting is advanced, but right internal thoracic artery (RITA) harvesting isn't always possible. Left internal thoracic artery (LITA)-saphenous vein Y-anastomosis can lead to coronary steal, especially with mismatched graft caliber.
Area of Science:
- Cardiovascular Surgery
- Vascular Anastomosis Techniques
- Coronary Artery Bypass Grafting
Background:
- Total arterial grafting is a preferred method for coronary revascularization.
- Harvesting the right internal thoracic artery (RITA) may be impossible in certain patients.
- A calcified aorta can complicate grafting procedures, necessitating alternative configurations like Y-anastomosis.
Keywords:
Coronary stealLeft internal mammary artery (LIMA) vein Y anastomosisleft internal thoracic arterymean graft flowtransit time flowmetry
