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. 2011;3(4):227–234.

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Copyright © 2011, HSR Proceedings in Intensive Care and Cardiovascular Anesthesia

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License 3.0, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode.

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In special cases, free internal mammary artery grafts are used.

This patient needed a triple sequential left internal mammary artery graft to the left anterior descending system, so a free right internal mammary artery graft was placed to an important circumflex coronary artery marginal artery.

The radial artery was placed to the distal right coronary artery, which was a previously stented infarct vessel and of tertiary importance.

Thus, the internal mammary artery grafts are usually reserved for the 2 most important coronary systems.