ARTERIAL REVASCULARIZATION WITH THE CONJOINED DOUBLE INTERNAL MAMMARYARTERY GRAFTING

A free graft internal Mammary Artery (IMA) was proximally connected en d-to-side to an in-situ IMA in 6 patients, a method we have named: ''T he conjoined double IMA''. This alternative surgical technique was app lied 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, mor e conventional methods for Double IMA grafting. Early clinical and ang iographic follow-up demonstrate the feasibility of this technique in s elected patients.