Upgrading Redo Coronary Artery Bypass Graft by Recycling In Situ Arterial Graft  Masahiro Dohi, MD, Kiyoshi Doi, MD, PhD, Kazunari Okawa, MD, Hitoshi Yaku,

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Upgrading Redo Coronary Artery Bypass Graft by Recycling In Situ Arterial Graft  Masahiro Dohi, MD, Kiyoshi Doi, MD, PhD, Kazunari Okawa, MD, Hitoshi Yaku, MD, PhD  The Annals of Thoracic Surgery  Volume 98, Issue 1, Pages 311-314 (July 2014) DOI: 10.1016/j.athoracsur.2013.09.066 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The left interior thoracic artery graft was patent, but exhibited 75% stenosis (white arrow) at the anastomotic site. The remaining graft was patent and well developed, without significant evidence of any disease. The Annals of Thoracic Surgery 2014 98, 311-314DOI: (10.1016/j.athoracsur.2013.09.066) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The left interior thoracic artery lay in the midline at the second intercostal space, very close to the sternum (arrows). Showing the (A) left lateral view and (B) back of the sternum. The Annals of Thoracic Surgery 2014 98, 311-314DOI: (10.1016/j.athoracsur.2013.09.066) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Computed tomographic scans at postoperative day 10 showing a patent and well-developed recycled left interior thoracic artery without stenosis (arrows). (A) Frontal and (B) left lateral views. The Annals of Thoracic Surgery 2014 98, 311-314DOI: (10.1016/j.athoracsur.2013.09.066) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Computed tomographic scan at 2 years after operation showing a patent and healthy recycled left internal thoracic artery that was used as a graft conduit for 19 years (arrows). The Annals of Thoracic Surgery 2014 98, 311-314DOI: (10.1016/j.athoracsur.2013.09.066) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions