Abstract

The internal mammary artery is considered the best available conduit for coronary artery bypass surgery. 1 Indeed, the incidence of atherosclerosis of mammary arteries is much lower than that of coronary arteries; 2 a routine angiographic evaluation before coronary artery bypass surgery is considered useless by most cardiac surgeons. We report a case of left internal mammary artery occlusion diagnosed on a routine angiogram 15 years after a left total mastectomy and radiotherapy for breast cancer.

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