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Light internal mammary artery contralateral arteriovenous fistula 2 Illustration and Icon
Light internal mammary artery contralateral arteriovenous fistula 2
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A simplified anterior schematic of the human thorax and heart shows the left internal mammary artery (LIMA; internal thoracic artery, ITA) coursing from the left subclavian artery to graft the left anterior descending (LAD) coronary artery, while an upper-limb arteriovenous fistula (AVF) is placed on the contralateral side. In anatomy, cardiology, and cardiovascular surgery, this arterial graft (organ-level vessel within the thoracic cavity of Homo sapiens) supplies myocardial perfusion after coronary artery bypass grafting (CABG), and contralateral AVF placement preserves LIMA flow by reducing coronary–subclavian steal risk.
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