Exclusive Internal Thoracic Artery Grafting in Triple-Vessel–Disease Patients: Angiographic Control Alexandre Azmoun, MD, Ramzi Ramadan, MD, Nawwar Al-Attar,

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Exclusive Internal Thoracic Artery Grafting in Triple-Vessel–Disease Patients: Angiographic Control Alexandre Azmoun, MD, Ramzi Ramadan, MD, Nawwar Al-Attar, FRCS, PhD, Chokri Kortas, MD, Said Ghostine, MD, Christophe Caussin, MD, Marie-Laure Bourachot, MD, Bernard Lancelin, MD, Michel Slama, MD, PhD, Remi Nottin, MD The Annals of Thoracic Surgery Volume 83, Issue 6, Pages 2098-2102 (June 2007) DOI: 10.1016/j.athoracsur.2007.02.032 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Schematic representation of the anastomosis of RITA on LITA in the Y configuration and sequential internal thoracic artery-coronary anastomoses. (D = diagonal artery; LAD = left anterior descending artery; LITA = left internal thoracic artery; OM = obtuse marginal artery; PD = posterior descending artery; RI = ramus intermedius artery; RITA = right internal thoracic artery; RPL = right posterolateral artery.) The Annals of Thoracic Surgery 2007 83, 2098-2102DOI: (10.1016/j.athoracsur.2007.02.032) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Postoperative coronary angiograms showing Y graft. (LITA = left internal thoracic artery; RITA = right internal thoracic artery.) The Annals of Thoracic Surgery 2007 83, 2098-2102DOI: (10.1016/j.athoracsur.2007.02.032) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative angiographic abnormalities: (A) anastomotic stenosis on right internal thoracic artery to posterior descending artery (arrow); (B) anastomotic stenosis has disappeared 4 months later (arrow). The Annals of Thoracic Surgery 2007 83, 2098-2102DOI: (10.1016/j.athoracsur.2007.02.032) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions