[The mammary-coronary anastomosis. Indications--advantages--problems]

Area of Science:

• Cardiovascular Surgery
• Vascular Anastomosis
• Coronary Artery Disease

Context:

• Surgically treated coronary patients
• Mammarocoronary anastomosis performed in 5.3% of cases
• Follow-up after 1 to 3.5 years

Purpose:

• To evaluate the patency of mammarocoronary anastomosis
• To define optimal surgical technique and indications
• To report on long-term outcomes of internal thoracic artery grafts

Summary:

• Follow-up angiography confirmed 100% patency of mammarocoronary anastomoses.
• A minimal lumen of 1.5 mm at the anastomosis site is recommended.
• Internal thoracic artery use is indicated for anterior ventricular branches of the left coronary artery.

Impact:

• Demonstrates the durability and effectiveness of internal thoracic artery grafts in coronary revascularization.
• Provides critical parameters for successful surgical technique.
• Highlights the importance of appropriate graft selection for optimal patient outcomes.