English translation: The Internal Mammary Artery (IMA)
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Once the anastomosis are completed, we inform anesthesia that we are going to slowly release the clamps. They are prepared to give fluids and medicine to counteract the expected drop in blood pressure that comes at this point in the operation. Once the clamps are released, the anastomosis are again inspect. Prior to clamping the aorta, an inspection of the inferior mesenteric artery (IMA) is made. We must decide whether we will need to implant this artery into the graft at the end of the case. The IMA supplies blood to the lower part of the colon. Most often the colon can live without blood from the IMA, as it can receive blood from other surrounding blood vessels. At this point we decide whether to implant the IMA or not.