• Cathet Cardiovasc Diagn · Aug 1994

    Case Reports

    Internal mammary artery collateral to the external iliac artery: an angiographic consideration prior to coronary bypass surgery.

    • D K Parashara, M N Kotler, G S Ledley, and S Yazdanfar.
    • Department of Medicine, Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia, Pennsylvania 19141.
    • Cathet Cardiovasc Diagn. 1994 Aug 1; 32 (4): 343-5.

    AbstractThe role of routine selective angiography of the internal mammary artery prior to myocardial revascularization is controversial. We report a patient with coronary artery disease and peripheral vascular disease in whom the left internal mammary artery supplied blood flow to the left external iliac artery via a collateral network. Thus, selective angiography of the internal mammary artery did play a major role in the proper management of this patient who required coronary bypass surgery. A major potential postoperative complication of left lower extremity ischemia may have been prevented.

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