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A Modified Thoracotomy for Minimally Invasive Coronary Artery Bypass Grafting
Author(s) -
Quigley Robert L.,
Davies Chris T.,
Rupp Michael D.,
Huntly Michael R.,
Reitknecht Felice L.
Publication year - 1997
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1997.tb00095.x
Subject(s) - medicine , artery , anastomosis , internal thoracic artery , thoracotomy , dissection (medical) , bypass grafting , revascularization , extracorporeal circulation , surgery , cardiology , radiology , myocardial infarction
A bstract The optimal technique of minimally invasive coronary artery revascularization using the in situ internal thoracic artery (ITA), without extracorporeal circulation, is yet to be defined. To obtain adequate exposure for both ITA harvest and left anterior descending coronary artery anastomosis, an anterior chest wall defect is created which can be difficult to reconstruct. Based on the vascular anatomy of the acromiothoracic axis and three described osteocutaneous composite tissue flaps, we present a novel dissection that not only improves exposure, but also preserves chest wall integrity.