Coronary artery surgery using inverted internal mammary artery.

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Abstract
A 56-year-old man requiring multiple coronary artery bypass grafts but without enough suitable vein was operated upon using the retrograde flow of the right internal mammary artery to supply to posterior descending coronary artery. Relief of angina and non-ischaemic areas on the scan with thallium-201 supports our intention to use this method when other techniques are not possible.