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

    February 2026 in “ Journal of Chittagong Medical College Teachers Association ”
    Saikat Das Gupta, Sanjana Nuzhat Esha, Sarmistha Biswas, Mozibul Haque, Prasanta Kumar Chanda
    TLDR BIMA grafting can be safely done in females with careful preparation.
    This case report discusses the successful treatment of a young diabetic female patient using Coronary Artery Bypass Grafting (CABG) with bilateral mammary artery grafting, a procedure that can pose sternal complications, especially in women. Despite these risks, the patient experienced no complications and remains symptom-free months after the procedure. This is noted as the first reported case of Bilateral Internal Mammary Artery (BIMA) grafting in a female at the authors' institute. The report concludes that with careful preparation, BIMA grafting can be safely performed in females, considering potential sternal healing issues.
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