Khaled M URAYATH
Department of Cardiothoracic Surgery, Tripoli Medical Centre, Tripoli, Libya
JMJ Vol.3 No.2 (September) 2004: 29-34
In this paper we present our experience with the use of double mammary arteries (DMA) in 4 cases (3 cases had full arterial revascularization & the 4th one had DMA + one saphenous vein graft) & in the 5th case full arterial revascularization was achieved using Lt internal mammary artery (LIMA) & Lt Radial artery (RA). All patients were done in Tripoli medical centre in the department of cardiothoracic surgery. This was done with no mortality or major morbidity in all the 5 cases. The use of arterial grafts only, total arterial revascularization (TAR), to fully revascularise the heart is a fairly new concept that is gaining increasing use especially so in young patients or those who have a much higher risk of saphenous vein graft (SVG) occlusion. In suitable cases the use of arterial grafts for full revascularization is to be encouraged as it is done at no increase in mortality, slight increase in morbidity & with better long term graft patency resulting in reduced incidence of recurrent angina & reoperations & improvement in long term survival.
Keywords: coronary artery bypass grafting, radial artery, mammary artery