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Arterial Conduits
LIMA UMA: anastomosis side-t-side with diaganal8 end-lo-sode with LAD
Figure: Arterial conduits
Internal Mamnrary Artery (IMA)
The intenla1 mammary arteries arise from the first part of subclavian artery and courses one cm lateral to the sternal edge on either side. In the sixth intercostal space it divided into two branches. It is accompanied by two venae comitantes. IMA is an ideal conduit for CABG because (I) size matches the coronary arteries, (2) resistant to atherosclerosis, and (3) has excellent long-term patency rate.
It is conversion of antibody class to another resulting from genetic rearrangement of heavy chain same region genes in B cells. Isotope switching is also known as class switching.
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