Ibrahim Mohammed Mohammed Alsayed  <br/><br/>
Early outcome of bilateral internal thoracic artery grafting in coronary artery bypass surgery in a low- volume cardiac surgery unit /  
 النتائج المبكرة لجراحة توصيل الشرايين التاجية باستخدام شريانى الثدى الأيسر والأيمن فى وحدة جراحة قلب ذات حجم محدود 
Ibrahim Mohammed Mohammed Al-sayed ; Supervised Waleed Gamal Eldin Abusenna , Tarek Ahmed Nosier , Hosam Fathy Ali Sayed  
 - Cairo :   Ibrahim Mohammed Mohammed Alsayed ,   2014 
 - 93 P. :   facsimiles ;   25cm 
<br/><br/>Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery  
<br/><br/> Background: The use of bilateral internal mammary arteries in coronary artery bypass grafting is a more technically demanding procedure,so it tends to more concentrated in high-volume tertiary referral centers.volume- oucome relationship in case of BIMA use is the target of our study. METHODOLOGY A retrospective observational study was conducted in the period from January 2012 to june 2013 in which 20 patients undergoing bilateral internal mammary artery grafting for coronary bypass surgery at Al-Ahrar Zagazig general hospital were reviewed and evaluated. RESULTS Of the 20 patients undergoing bilateral IMA grafting, 19 were males and 1 females. The mean age was 52.05 ± 8.1 years. Following the 20 primary, elective , isolated non emergent surgeries, there was one hospital death. The most common post-operative complications were arrhythmias(15%) and sternal wound infection(10%) 
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<br/><br/><label>Subjects--Index Terms: </label>BIMA  Low-volume cardiac surgery unit  Outcomes