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Martin T.R. Grapow
Hans-Reinhard Zerkowski
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J Thorac Cardiovasc Surg 2005;129:1186-1187
© 2005 The American Association for Thoracic Surgery

Brief Communications

How to avoid traction to a pedicled internal thoracic artery graft

Franziska H. Bernet, MD*, Martin T.R. Grapow, MD, Hans-Reinhard Zerkowski, MD, FETCS

Division of Cardiothoracic Surgery, University Hospital Basel, Basel, Switzerland

Received for publication October 4, 2004; accepted for publication October 12, 2004.

* Address for reprints: Franziska Bernet, MD, Division of Cardio-Thoracic Surgery, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland (E-mail: bernetf@uhbs.ch).

The first 20% of the full text of this article appears below.


Figure 1
Dr Bernet


The left internal thoracic artery (LITA) is the most important conduit for coronary artery bypass grafting.1 Its application is an independent predictor of late survival, and therefore the LITA should be used in almost all patients.2 However, which harvesting technique has more advantages is still unclear.3,4 In our institution we routinely performed pedicled LITA grafting to avoid deprivation of the vaso vasorum, innervation and lymphatic and venous drainage.

We present our experience with a technique, first described in 1997 by Rao and colleagues,5 to perform a tension-free LITA graft to the left anterior descending artery (LAD).

Technique

The coronary artery bypass grafting procedure is carried out under standardized conditions concerning surgical management delivery . . . [Full Text of this Article]






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