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Bilateral Versus Unilateral Internal Thoracic Artery Revascularization in Patients with Multivessel Coronary Artery Disease

Abdusalom Abdurakhmanov, Mustapha Obeid and Ilkhom Abdukhalimov

Since its introduction into the recommendations, left internal mammary artery use became a quality control measure for CABG surgery [1, 2]. LIMA to left anterior descending artery grafting can improve patients survival compared with use of an SVG. Initially patients with double IMA grafts can be at greater risk group before operation, but on 10-yeyar follow-up period their survival rate was similar to that of patients with a single IMA graft [3]. Arterial grafting of the non–left anterior descending vessels, in patients undergoing isolated coronary artery bypass graft surgery with LIMA to left anterior descending artery, can improve a 15 years survival rate compared with SV grafting [4].