Arterial revascularisation with the conjoined double internal mammary artery grafting

A free graft Internal Mammary Artery (IMA) was proximally connected end-to-side to an in-situ IMA in 6 patients, a method we have named: "The conjoined double IMA". This alternative surgical technique was applied in patients where important vessels had to be grafted in presence of diseased aortic wall, insufficient supply of adequate veins, or a mammary not long enough, thus precluding the performance of other, more conventional methods for Double IMA grafting. Early clinical and angiographic follow-up demonstrate the feasibility of this technique in selected patients.