Li. Bonchek et al., MAXIMAL UTILIZATION OF THE LEFT INTERNAL MAMMARY ARTERY FOR CORONARY-BYPASS GRAFTING, The Annals of thoracic surgery, 61(6), 1996, pp. 1848-1849
A technique is described for using the internal mammary artery to bypa
ss the left anterior descending coronary artery and another adjacent c
oronary artery even when the alignment of the two vessels is not favor
able for a conventional sequential graft. The distal end of the mammar
y artery is amputated and used to construct a Y graft to the anterior
descending artery and to the secondary target vessel.