I recently came across an unusual LIMA arterial branching pattern .
Random thoughts
- A naturally dividing LIMA faciliates multiple sequential grafting of LAD or diagonal branches.
- As branches steal the LIMA flow it is not good for the patient
- Surgeons struggle to clip the branches.
- A branching LIMA has tendency to have small diameter (As in the above patient )
I need a surgeons Input here.
Dr.S.Venkatesan MD 