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Combining direct coronary artery surgery with internal mammary artery implants
  1. Graeme L. Hammond,
  2. Ian McMillan
  1. Department of Surgery, Yale Medical School and the Cardiac Surgical Service, Yale-New Haven Hospital, Southampton, England
  2. Cardiac Surgical Unit, Southampton Chest Hospital, Southampton, England

    Abstract

    The reasons for combining direct coronary artery surgery with internal mammary artery implants are discussed. A case typifying this problem is presented. It is concluded that, in certain instances, maximal myocardial protection could be provided by combining direct coronary reconstructive surgery, in order to increase immediate protection, with internal mammary artery implants, in order to provide long-term protection.

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