Abstract Bilateral ligation of the internal mammary arteries was proposed by Battezzati and coworkers1 to increase the flow of blood from the internal mammary arteries to the coronary arteries via the pericardiophrenic arteries. In dogs and human cadavers, they injected methylene blue or India ink into the internal mammary artery, after its ligation in the second intercostal space and demonstrated the dye in epicardial fat and myocardial vessels and in vessels about the roots of the aorta and pulmonary arteries. They described the normal course of the pericardiophrenic arteries arising from the internal mammary arteries and ramifying over the pericardium. In a report that includes a review of the literature, Glover et al.,2 using Evans blue dye, injected the internal mammary arteries of dogs immediately following their ligation. They found similar anastomoses. Comparative injection studies in dogs with and without ligation of the internal mammary arteries were not performed. References 1. Battezzati, M.; Tagliaferro, A., and de Marchi, G.: The Ligature of the Two Internal Mammary Arteries in Disorders of Vascularization of the Myocardium , Minerva med. 46:1178, 1955. 2. Glover, R. P.; Davila, J. C.; Kyle, R. H.; Beard, J. C.; Trout, R. A. and Kitchell, J.: Ligation of the Internal Mammary Arteries as a Means of Increasing Blood Supply to the Myocardium , J. Thoracic Surg. 34:661, 1957. 3. Hardin, R.; Shumacker, H. B., Jr., Su, C. S., and Bounous, G.: Bilateral Internal Mammary Artery Ligation and Coronary Artery Occlusion , Surg. Gynec. & Obst. 108:518, 1959. 4. Vansant, J. H., and Muller, W. H.: Experimental Evaluation of Internal Mammary Artery Ligation as a Method of Myocardial Revascularization , Surgery 45:840, 1959. 5. Cobb, L. A.; Thomas, G. I.; Dillard, D. H.; Merendino, K. A., and Bruce, R. A.: An Evaluation of Internal-Mammary-Artery Ligation by a Double-Blind Technic , New England J. Med. 260:1115, 1959. 6. Schlesinger, M. J.: New Radiopaque Mass for Vascular Injection , Lab. Invest. 6:1, 1957. 7. Swan, H., in discussion on Taber, R. E., and Marchioro, T.: Observations on Hemodynamic Effects of Experimental Internal Mammary Artery Ligation , A.M.A. Arch. Surg. 76:781, 1958, p. 785. 8. Taber, R. E., and Marchioro, T.: Observations on Hemodynamic Effects of Experimental Internal Mammary Artery Ligation , A.M.A. Arch. Surg. 76:781, 1958. 9. Adams, R.: Internal-Mammary-Artery Ligation for Coronary Insufficiency , New England J. Med. 258:113, 1958. 10. Mautz, F. R., and Gregg, D. E.: Dynamics of Collateral Circulation Following Chronic Occlusion of Coronary Arteries , Proc. Soc. Exper. Biol. & Med. 36:797, 1937. 11. Moore, R. A.: The Coronary Arteries of the Dog , Am. Heart J. 5:743, 1930. 12. Pianetto, M. B.: The Coronary Arteries of the Dog , Am. Heart J. 18:403, 1939.
A.M.A. Archives Surgery – American Medical Association
Published: Jun 1, 1960
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