Clinical studies on the flow capacities of the internal mammary artery in humans and the expanded use of the internal mammary artery are presented as well as the clinical application results complications and long term follow up of the internal mammary artery bypass for coronary grafting. Internal mammary artery arterial graft ing for myocardial revascularization is a comprehensive contribution from history anatomy and pathology to experimental and clinical studies from clinical application to results from complications to long term fol low up and will be a reference of ines. Get this from a library arterial grafting for myocardial revascularization indications surgical techniques and results ludwig k von segesser. Indications for use of the rima in most instances with the lima include any situation with exhausted venous reserves small vessel disease an indication for primary arterial grafting isolated right coronary artery disease in selected patients and selected routine cases with the lima. In 1953 william mustard performed the first direct surgical approach to the coronary circulation a carotid to coronary bypass in a patient in toronto in 1962 the first surgical myocardial revascularization procedure the patch graft technique was performed to repair an obstruction of the left main trunk coronary artery
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