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Total Arterial Myocardial Revascularization

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Coronary Graft Failure

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Abstract

Coronary artery disease (CAD) remains the leading cause of morbidity and mortality in developed countries, despite the recent developments both in preventions and therapy. Total arterial myocardial revascularization (TAMR), represents a central surgical methodology against the struggle of CAD. In modern cardiac surgery, TAMR displays an excellence in the field of coronary artery bypass graft (CABG), which dominates as the commonest cardiac surgical procedure for the treatment of every significant stenosis in CAD.

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References

  1. Windecker S, Kolh P, Alfonso F, Collet JP, Cremer J, Falk V, et al. 2014 ESC/EACTS Guidelines on myocardial revascularization: the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur Heart J. 2014;46:517–92.

    Google Scholar 

  2. Tonino PA, Fearon WF, De Bruyne B, Oldroyd KG, Leesar MA, Ver Lee PN, et al. Angiographic versus functional severity of coronary artery stenoses in the FAME study fractional flow reserve versus angiography in multivessel evaluation. J Am Coll Cardiol. 2010;55(25):2816–21.

    Article  PubMed  Google Scholar 

  3. Lopes RD, Hafley GE, Allen KB, Ferguson TB, Peterson ED, Harrington RA, et al. Endoscopic versus open vein-graft harvesting in coronary-artery bypass surgery. N Engl J Med. 2009;361(3):235–44.

    Article  CAS  PubMed  Google Scholar 

  4. Vineberg A, Munro DD, Cohen H, Buller W. Four years’ clinical experience with internal mammary artery implantation in the treatment of human coronary artery insufficiency including additional experimental studies. J Thorac Surg. 1955;29(1):1–32; discussion 32–6.

    CAS  PubMed  Google Scholar 

  5. Kolessov VI. Mammary artery-coronary artery anastomosis as method of treatment for angina pectoris. J Thorac Cardiovasc Surg. 1967;54(4):535–44.

    CAS  PubMed  Google Scholar 

  6. Green GE, Paul RS, Wallsh E, Tice DA. Coronary artery bypass grafting. Surg Forum. 1968;19:159–61.

    CAS  PubMed  Google Scholar 

  7. Loop FD, Lytle BW, Cosgrove DM, Stewart RW, Goormastic M, Williams GW, et al. Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events. N Engl J Med. 1986;314(1):1–6.

    Article  CAS  PubMed  Google Scholar 

  8. Cameron AA, Green GE, Brogno DA, Thornton J. Internal thoracic artery grafts: 20-year clinical follow-up. J Am Coll Cardiol. 1995;25(1):188–92.

    Article  CAS  PubMed  Google Scholar 

  9. Cosgrove DM, Loop FD, Lytle BW, Goormastic M, Stewart RW, Gill CC, et al. Does mammary artery grafting increase surgical risk? Circulation. 1985;72(3 Pt 2):II170–4.

    CAS  PubMed  Google Scholar 

  10. Cosgrove DM, Lytle BW, Loop FD, Taylor PC, Stewart RW, Gill CC, et al. Does bilateral internal mammary artery grafting increase surgical risk? J Thorac Cardiovasc Surg. 1988;95(5):850–6.

    CAS  PubMed  Google Scholar 

  11. Boylan MJ, Lytle BW, Loop FD, Taylor PC, Borsh JA, Goormastic M, et al. Surgical treatment of isolated left anterior descending coronary stenosis. Comparison of left internal mammary artery and venous autograft at 18 to 20 years of follow-up. J Thorac Cardiovasc Surg. 1994;107(3):657–62.

    CAS  PubMed  Google Scholar 

  12. Barner HB, Barnett MG. Fifteen- to twenty-one-year angiographic assessment of internal thoracic artery as a bypass conduit. Ann Thorac Surg. 1994;57(6):1526–8.

    Article  CAS  PubMed  Google Scholar 

  13. Pearson PJ, Evora PR, Schaff HV. Bioassay of EDRF from internal mammary arteries: implications for early and late bypass graft patency. Ann Thorac Surg. 1992;54(6):1078–84.

    Article  CAS  PubMed  Google Scholar 

  14. Lytle BW, Blackstone EH, Sabik JF, Houghtaling P, Loop FD, Cosgrove DM. The effect of bilateral internal thoracic artery grafting on survival during 20 postoperative years. Ann Thorac Surg. 2004;78(6):2005–12; discussion 2012–4.

    Article  PubMed  Google Scholar 

  15. Dion R, Verhelst R, Rousseau M, Goenen M, Ponlot R, Kestens-Servaye Y, et al. Sequential mammary grafting. Clinical, functional, and angiographic assessment 6 months postoperatively in 231 consecutive patients. J Thorac Cardiovasc Surg. 1989;98(1):80–8; discussion 88–9.

    CAS  PubMed  Google Scholar 

  16. Tatoulis J, Buxton BF, Fuller JA. The right internal thoracic artery: The forgotten conduit--5,766 patients and 991 angiograms. Ann Thorac Surg. 2011;92(1):9–15; discussion 15–7.

    Article  PubMed  Google Scholar 

  17. Dion R, Etienne PY, Verhelst R, Khoury G, Rubay J, Bettendorff P, et al. Bilateral mammary grafting. Clinical, functional and angiographic assessment in 400 consecutive patients. Eur J Cardiothorac Surg. 1993;7(6):287–93; discussion 294.

    Article  CAS  PubMed  Google Scholar 

  18. Galbut DL, Traad EA, Dorman MJ, DeWitt PL, Larsen PB, Kurlansky PA, et al. Seventeen-year experience with bilateral internal mammary artery grafts. Ann Thorac Surg. 1990;49(2):195–201.

    Article  CAS  PubMed  Google Scholar 

  19. Chow MS, Sim E, Orszulak TA, Schaff HV. Patency of internal thoracic artery grafts: comparison of right versus left and importance of vessel grafted. Circulation. 1994;90(5 Pt 2):II129–32.

    CAS  PubMed  Google Scholar 

  20. He GW. Contractility of the human internal mammary artery at the distal section increases toward the end. Emphasis on not using the end of the internal mammary artery for grafting. J Thorac Cardiovasc Surg. 1993;106(3):406–11.

    CAS  PubMed  Google Scholar 

  21. He GW, Acuff TE, Ryan WH, Yang CQ, Mack MJ. Functional comparison between the human inferior epigastric artery and internal mammary artery. Similarities and differences. J Thorac Cardiovasc Surg. 1995;109(1):13–20.

    Article  CAS  PubMed  Google Scholar 

  22. He GW, Acuff TE, Yang CQ, Ryan WH, Mack MJ. Middle and proximal sections of the human internal mammary artery are not “passive conduits”. J Thorac Cardiovasc Surg. 1994;108(4):741–6.

    CAS  PubMed  Google Scholar 

  23. He GW, Ryan WH, Acuff TE, Yang CQ, Mack MJ. Greater contractility of internal mammary artery bifurcation: possible cause of low patency rates. Ann Thorac Surg. 1994;58(2):529–32.

    Article  CAS  PubMed  Google Scholar 

  24. He GW, Yang CQ. Comparison among arterial grafts and coronary artery. An attempt at functional classification. J Thorac Cardiovasc Surg. 1995;109(4):707–15.

    Article  CAS  PubMed  Google Scholar 

  25. He GW, Yang CQ. Radial artery has higher receptor-mediated contractility but similar endothelial function compared with mammary artery. Ann Thorac Surg. 1997;63(5):1346–52.

    Article  CAS  PubMed  Google Scholar 

  26. Puig LB. The right internal thoracic artery for myocardial revascularization. J Thorac Cardiovasc Surg. 1997;114(4):686–7.

    Article  CAS  PubMed  Google Scholar 

  27. Rankin JS, Newman GE, Bashore TM, Muhlbaier LH, Tyson Jr GS, Ferguson Jr TB, et al. Clinical and angiographic assessment of complex mammary artery bypass grafting. J Thorac Cardiovasc Surg. 1986;92(5):832–46.

    CAS  PubMed  Google Scholar 

  28. Tector AJ, Amundsen S, Schmahl TM, Kress DC, Peter M. Total revascularization with T grafts. Ann Thorac Surg. 1994;57(1):33–8; discussion 39.

    Article  CAS  PubMed  Google Scholar 

  29. Kabbani SS, Hanna ES, Bashour TT, Crew JR, Ellertson DG. Sequential internal mammary-coronary artery bypass. J Thorac Cardiovasc Surg. 1983;86(5):697–702.

    CAS  PubMed  Google Scholar 

  30. Ueyama K, Sakata R, Umebayashi Y, Nakayama Y, Arakaki K, Ura M. In situ right internal thoracic artery graft via transverse sinus for revascularization of posterolateral wall: early results in 116 cases. J Thorac Cardiovasc Surg. 1996;112(3):731–6.

    Article  CAS  PubMed  Google Scholar 

  31. Puig LB, Franca Neto L, Rati M, Ramires JA, da Luz PL, Pileggi F, et al. A technique of anastomosis of the right internal mammary artery to the circumflex artery and its branches. Ann Thorac Surg. 1984;38(5):533–4.

    Article  CAS  PubMed  Google Scholar 

  32. Gerola LR, Puig LB, Moreira LF, Cividanes GV, Gemha GP, Souto RC, et al. Right internal thoracic artery through the transverse sinus in myocardial revascularization. Ann Thorac Surg. 1996;61(6):1708–12; discussion 1712–3.

    Article  CAS  PubMed  Google Scholar 

  33. Ura M, Sakata R, Nakayama Y, Arai Y, Saito T. Long-term patency rate of right internal thoracic artery bypass via the transverse sinus. Circulation. 1998;98(19):2043–8.

    Article  CAS  PubMed  Google Scholar 

  34. Buche M, Schroeder E, Chenu P, Gurne O, Marchandise B, Pompilio G, et al. Revascularization of the circumflex artery with the pedicled right internal thoracic artery: clinical functional and angiographic midterm results. J Thorac Cardiovasc Surg. 1995;110(5):1338–43.

    Article  CAS  PubMed  Google Scholar 

  35. Ramstrom J, Lund O, Cadavid E, Oxelbark S, Thuren JB, Henze AC. Right internal mammary artery for myocardial revascularization: early results and indications. Ann Thorac Surg. 1993;55(6):1485–91.

    Article  CAS  PubMed  Google Scholar 

  36. Toyama M, Yanagi K, Tanabe H, Amano A, Dong W, Ozaki S. A case of coronary artery bypass utilizing natural bifurcation of the right internal mammary artery. Zasshi [Journal]. 1991;39(4):439–41.

    CAS  Google Scholar 

  37. Calafiore AM, Vitolla G, Iaco AL, Fino C, Di Giammarco G, Marchesani F, et al. Bilateral internal mammary artery grafting: midterm results of pedicled versus skeletonized conduits. Ann Thorac Surg. 1999;67(6):1637–42.

    Article  CAS  PubMed  Google Scholar 

  38. Gurevitch J, Paz Y, Shapira I, Matsa M, Kramer A, Pevni D, et al. Routine use of bilateral skeletonized internal mammary arteries for myocardial revascularization. Ann Thorac Surg. 1999;68(2):406–11; discussion 412.

    Article  CAS  PubMed  Google Scholar 

  39. Bical O, Braunberger E, Fischer M, Robinault J, Foiret JC, Fromes Y, et al. Bilateral skeletonized mammary artery grafting: experience with 560 consecutive patients. Eur J Cardiothorac Surg. 1996;10(11):971–5; discussion 976.

    Article  CAS  PubMed  Google Scholar 

  40. Fiore AC, Naunheim KS, Dean P, Kaiser GC, Pennington G, Willman VL, et al. Results of internal thoracic artery grafting over 15 years: single versus double grafts. Ann Thorac Surg. 1990;49(2):202–8; discussion 208–9.

    Article  CAS  PubMed  Google Scholar 

  41. Berreklouw E, Schonberger JP, Ercan H, Koldewijn EL, de Bock M, Verwaal VJ, et al. Does it make sense to use two internal thoracic arteries? Ann Thorac Surg. 1995;59(6):1456–63.

    Article  CAS  PubMed  Google Scholar 

  42. Lytle BW, Blackstone EH, Loop FD, Houghtaling PL, Arnold JH, Akhrass R, et al. Two internal thoracic artery grafts are better than one. J Thorac Cardiovasc Surg. 1999;117(5):855–72.

    Article  CAS  PubMed  Google Scholar 

  43. Pick AW, Orszulak TA, Anderson BJ, Schaff HV. Single versus bilateral internal mammary artery grafts: 10-year outcome analysis. Ann Thorac Surg. 1997;64(3):599–605.

    Article  CAS  PubMed  Google Scholar 

  44. Loop FD, Lytle BW, Cosgrove DM, Golding LA, Taylor PC, Stewart RW. Free (aorta-coronary) internal mammary artery graft. Late results. J Thorac Cardiovasc Surg. 1986;92(5):827–31.

    CAS  PubMed  Google Scholar 

  45. Verhelst R, Etienne PY, El Khoury G, Noirhomme P, Rubay J, Dion R. Free internal mammary artery graft in myocardial revascularization. Cardiovasc Surg (London, England). 1996;4(2):212–6.

    Article  CAS  Google Scholar 

  46. Dion R, Glineur D, Derouck D, Verhelst R, Noirhomme P, El Khoury G, et al. Long-term clinical and angiographic follow-up of sequential internal thoracic artery grafting. Eur J Cardiothorac Surg. 2000;17(4):407–14.

    Article  CAS  PubMed  Google Scholar 

  47. Sauvage LR, Wu HD, Kowalsky TE, Davis CC, Smith JC, Rittenhouse EA, et al. Healing basis and surgical techniques for complete revascularization of the left ventricle using only the internal mammary arteries. Ann Thorac Surg. 1986;42(4):449–65.

    Article  CAS  PubMed  Google Scholar 

  48. Barra JA, Bezon E, Mansourati J, Rukbi I, Mondine P, Youssef Y. Reimplantation of the right internal thoracic artery as a free graft into the left in situ internal thoracic artery (Y procedure). One-year angiographic results. J Thorac Cardiovasc Surg. 1995;109(6):1042–7; discussion 1047–8.

    Article  CAS  PubMed  Google Scholar 

  49. Chocron S, Etievent JP, Schiele F, Clement F, Alwan K, Cordier A, et al. The y graft: myocardial revascularization with both internal thoracic arteries. Evaluation of eighty cases with coronary angiographic assessment. J Thorac Cardiovasc Surg. 1994;108(4):736–40.

    CAS  PubMed  Google Scholar 

  50. Tector AJ, Kress DC, Schmahl TM, Amundsen S. T-graft: a new method of coronary arterial revascularization. J Cardiovasc Surg (Torino). 1994;35(6 Suppl 1):19–23.

    CAS  Google Scholar 

  51. Zeff RH, Kongtahworn C, Iannone LA, Gordon DF, Brown TM, Phillips SJ, et al. Internal mammary artery versus saphenous vein graft to the left anterior descending coronary artery: prospective randomized study with 10-year follow-up. Ann Thorac Surg. 1988;45(5):533–6.

    Article  CAS  PubMed  Google Scholar 

  52. Weiss AJ, Zhao S, Tian DH, Taggart DP, Yan TD. A meta-analysis comparing bilateral internal mammary artery with left internal mammary artery for coronary artery bypass grafting. Ann Cardiothorac Surg. 2013;2(4):390–400.

    PubMed  PubMed Central  Google Scholar 

  53. Acar C, Jebara VA, Portoghese M, Beyssen B, Pagny JY, Grare P, et al. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg. 1992;54(4):652–9; discussion 659–60.

    Article  CAS  PubMed  Google Scholar 

  54. Desai ND, Cohen EA, Naylor CD, Fremes SE. A randomized comparison of radial-artery and saphenous-vein coronary bypass grafts. N Engl J Med. 2004;351(22):2302–9.

    Article  CAS  PubMed  Google Scholar 

  55. Cao C, Tian DH, Ang SC, Peeceeyen S, Allan J, Fu B, et al. A meta-analysis of endoscopic versus conventional open radial artery harvesting for coronary artery bypass graft surgery. Innovations (Philadelphia, PA). 2014;9(4):269–75.

    Article  Google Scholar 

  56. Cao C, Ang SC, Wolak K, Peeceeyen S, Bannon P, Yan TD. A meta-analysis of randomized controlled trials on mid-term angiographic outcomes for radial artery versus saphenous vein in coronary artery bypass graft surgery. Ann Cardiothorac Surg. 2013;2(4):401–7.

    PubMed  PubMed Central  Google Scholar 

  57. Fremes SE. Multicenter radial artery patency study (raps). Study design. Control Clin Trials. 2000;21(4):397–413.

    Article  CAS  PubMed  Google Scholar 

  58. Chloroyiannis IA. Total arterial myocardial revascularization. Angiology. 2008;59(2 Suppl):80S–2.

    Article  PubMed  Google Scholar 

  59. Yi G, Shine B, Rehman SM, Altman DG, Taggart DP. Effect of bilateral internal mammary artery grafts on long-term survival: a meta-analysis approach. Circulation. 2014;130(7):539–45.

    Article  PubMed  Google Scholar 

  60. Miller R. Right internal thoracic artery should be used more often. Heartwire, Society of Thoracic Surgeons 47th annual meeting. San Diego, California, USA. 2011.

    Google Scholar 

  61. Itagaki S, Cavallaro P, Adams DH, Chikwe J. Bilateral internal mammary artery grafts, mortality and morbidity: an analysis of 1 526 360 coronary bypass operations. Heart (British Cardiac Society). 2013;99(12):849–53.

    Article  Google Scholar 

  62. Catarino PA, Black E, Taggart DP. Why do uk cardiac surgeons not perform their first choice operation for coronary artery bypass graft? Heart (British Cardiac Society). 2002;88(6):643–4.

    Article  CAS  Google Scholar 

  63. Mastrobuoni S, Gawad N, Price J, Chan V, Ruel M, Mesana TG, et al. Use of bilateral internal thoracic artery during coronary artery bypass graft surgery in Canada: the bilateral internal thoracic artery survey. J Thorac Cardiovasc Surg. 2012;144(4):874–9.

    Article  PubMed  Google Scholar 

  64. Schneider ECEA. Influence of cardiac-surgery performance on referral practices and access to care. A survey of cardiovascular specialists. N Engl J Med. 1997;336:442–3.

    Article  Google Scholar 

  65. Puskas J. Why did you not use both internal thoracic arteries? Circulation. 2012;126:2915–7.

    Article  PubMed  Google Scholar 

  66. Kieser T. Bilateral internal mammary artery grafting in CABG surgery: an extra 20 minutes for an extra 20 years…. EuroIntervention. 2013;9(8):899–901.

    Article  PubMed  Google Scholar 

  67. Taggart DP. Respiratory dysfunction after cardiac surgery: effects of avoiding cardiopulmonary bypass and the use of bilateral internal mammary arteries. Eur J Cardiothorac Surg. 2000;18(1):31–7.

    Article  CAS  PubMed  Google Scholar 

  68. John LC. Extrapleural harvesting of the mammary artery and the costodiaphragmatic sulcus. Heart Lung Circ. 2013;22:156–7.

    Article  PubMed  Google Scholar 

  69. Taggart DP, Altman DG, Gray AM, Lees B, Nugara F, Yu LM, et al. Randomized trial to compare bilateral vs. Single internal mammary coronary artery bypass grafting: 1-year results of the arterial revascularisation trial (ART). Eur Heart J. 2010;31(20):2470–81.

    Article  PubMed  Google Scholar 

  70. Dorman MJ, Kurlansky PA, Traad EA, Galbut DL, Zucker M, Ebra G. Bilateral internal mammary artery grafting enhances survival in diabetic patients: a 30-year follow-up of propensity score-matched cohorts. Circulation. 2012;126(25):2935–42.

    Article  PubMed  Google Scholar 

  71. Robicsek F, Daugherty HK, Cook JW. The prevention and treatment of sternum separation following open-heart surgery. J Thorac Cardiovasc Surg. 1977;73(2):267–8.

    CAS  PubMed  Google Scholar 

  72. Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG, et al. 2011 ACCF/AHA guideline for coronary artery bypass graft surgery: executive summary: a report of the american college of cardiology foundation/american heart association task force on practice guidelines. J Thorac Cardiovasc Surg. 2011;143(1):4–34.

    Article  Google Scholar 

  73. Kurlansky PA, Traad EA, Dorman MJ, Galbut DL, Zucker M, Ebra G. Bilateral internal mammary artery grafting reverses the negative influence of gender on outcomes of coronary artery bypass grafting surgery. Eur J Cardiothorac Surg. 2013;44(1):54–63.

    Article  PubMed  Google Scholar 

  74. Cotton P. Fast-track improves CABG outcomes. JAMA. 1993;270(17):2023.

    Article  CAS  PubMed  Google Scholar 

  75. Kai M, Okabayashi H, Hanyu M, Soga Y, Nomoto T, Nakano J, et al. Long-term results of bilateral internal thoracic artery grafting in dialysis patients. Ann Thorac Surg. 2007;83(5):1666–71.

    Article  PubMed  Google Scholar 

  76. Przewlocki T, Kablak-Ziembicka A, Pieniazek P, Musialek P, Kadzielski A, Zalewski J, et al. Determinants of immediate and long-term results of subclavian and innominate artery angioplasty. Catheter Cardiovasc Interv. 2006;67(4):519–26.

    Article  PubMed  Google Scholar 

  77. Jones EL, Craver JM, Guyton RA, Bone DK, Hatcher Jr CR, Riechwald N. Importance of complete revascularization in performance of the coronary bypass operation. Am J Cardiol. 1983;51(1):7–12.

    Article  CAS  PubMed  Google Scholar 

  78. Garcia S, Sandoval Y, Roukoz H, Adabag S, Canoniero M, Yannopoulos D, et al. Outcomes after complete versus incomplete revascularization of patients with multivessel coronary artery disease: a meta-analysis of 89,883 patients enrolled in randomized clinical trials and observational studies. J Am Coll Cardiol. 2013;62(16):1421–31.

    Article  PubMed  Google Scholar 

  79. Dalen M, Ivert T, Holzmann MJ, Sartipy U. Bilateral versus single internal mammary coronary artery bypass grafting in Sweden from 1997–2008. PLoS One. 2014;9(1):e86929.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiac Surgery, Euroclinic of Athens, Athens, Greece

    Yiannis A. Chloroyiannis MD, PhD

  2. First Department of Cardiology, Ippocrateio Hospital, University of Athens, Athens, Greece

    Andreas G. Synetos MD, PhD

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  1. Yiannis A. Chloroyiannis MD, PhD
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  2. Andreas G. Synetos MD, PhD
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Correspondence to Yiannis A. Chloroyiannis MD, PhD .

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Editors and Affiliations

  1. Cardiology, Army's Center for Cardiovascular Di, Bucharest, Romania

    Ion C. Ţintoiu

  2. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

  3. University Fribourg, Hospital HFR Fribourg, Fribourg, Fribourg, Switzerland

    Stephane Pierre Cook

  4. Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

    Hironori Kitabata

  5. University Medical Center, Texas Tech Univ. Health Science Center, EL PASO, Texas, USA

    Aamer Abbas

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Chloroyiannis, Y.A., Synetos, A.G. (2016). Total Arterial Myocardial Revascularization. In: Ţintoiu, I., Underwood, M., Cook, S., Kitabata, H., Abbas, A. (eds) Coronary Graft Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-26515-5_4

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