الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
This prospective randomized study was conducted on (40) patients who underwent elective first time Coronary Artery Bypass Grafting at Cardiothoracic surgery department (Mansoura university), divided into 2 groups:group A: including 20 patients with Skeletonized internal mammary artery harvesting.group B: including 20 patients with non-skeletonized internal mammary artery harvesting.Randomization of patients was performed by using closed envelope technique.Skeletonized IMA proved its superiority as regard enhanced flow rate ,conduit length allowing more number of distal anastmoses .Enhanced flow rate was reflected in better sternal perfusion and better post operative course in terms of shorter ventilation time , shorter ICU and hospital stay.In our small study sample there was no cases of MI,surgical re-exploration for bleeding or need for intra aortic balloon pumb.No cases of intra or post operative mortality were reported in our small study sample. Calafiore AM, Weltert L, Michele D, Guglielmo AD, Paolo C. Internal mammary artery. Ann Thoracic Surg 2005. Ann Thorac Surg 1811.Calafiore AM, Di Giammarco G. Complete revascularization with three or more arterial conduits. Semin Thorac Cardiovasc Surg. 1996;8:15–23 Cohen AJ, Lockman J, Lorberboym M, Bder O, Cohen N, Medalion B. Assessment of sternal vascularity with single photon emission computed tomography after harvesting of the internal thoracic artery. J Thorac Cardiovasc Surg 1999;118:496–502