Coronary Artery Bypass Grafting Using Total Arterial Conduit (Lima-Rima) on a Young Female: A Case Report

Authors

  • Saikat Das Gupta Associate Consultant of Cardiac Surgery, Square Hospitals Ltd, Dhaka.
  • Sanjana Nuzhat Esha Resident Medical Officer of Cardiac Surgery, Square Hospitals Ltd, Dhaka.
  • Sarmistha Biswas Medical Officer of Cardiology, National Heart Foundation of Bangladesh, Dhaka.
  • Mozibul Haque Senior Consultant of Cardiac Anesthesia, Square Hospitals Ltd, Dhaka.
  • Prasanta Kumar Chanda Senior Consultant of Cardiac Surgery, Square Hospitals Ltd, Dhaka.

DOI:

https://doi.org/10.3329/jcmcta.v36i2.87014

Keywords:

BIMA-Y in female sex; CABG in women; LIMA-RIMA Y in female; Total arterial revascularization in female.

Abstract

Background : Coronary Artery Bypass Grafting (CABG) although commonly done in our population, there is an alarming increase of young candidates for CABG now-adays.  Evidence suggests, young patients are more benefitted with total arterial grafts. But, total arterial grafts in the form of bilateral mammary artery harvesting may provoke sternal complications especially in the women.

Case Presentation: We have successfully treated a young diabetic, female patient in our center with bilateral mammary grafting without any complications and after months of follow-up patient is leading a symptom free  life. As per our knowledge this is the first reported case of  Bilateral Internal mammary Artery (BIMA) grafting in a female patient in our institute.

Conclusion: Through augmented preparation Bima grafting can be safely done in females in indicated cases keeping careful consideration of potential sternal healing issues.

JCMCTA 2025 ; 36 (2) : 165-167

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Published

2026-02-04

How to Cite

Gupta, S. D., Esha, S. N., Biswas, S., Haque, M., & Chanda, P. K. (2026). Coronary Artery Bypass Grafting Using Total Arterial Conduit (Lima-Rima) on a Young Female: A Case Report. Journal of Chittagong Medical College Teachers’ Association, 36(2), 165–167. https://doi.org/10.3329/jcmcta.v36i2.87014

Issue

Vol. 36 No. 2 (2025)

Section

Case Reports