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Reoperative Grafting of the LAD System Using the LAST Approach: Technical Detail
Author(s) -
Ricci Marco,
Bergsland Jacob,
D'Ancona Giuseppe,
Salerno Tomas A.,
Karamanoukian Hratch L.
Publication year - 2000
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.1540-8191.2000.tb01297.x
Subject(s) - medicine , thoracotomy , bypass grafting , artery , mammary artery , left lung , surgery , cardiology , lung
A bstract In patients in whom the left internal mammary artery (LIMA) has been previously utilized, reoperative grafting of the left anterior descending (LAD) or diagonal coronary arteries can be performed through a left anterior small thoracotomy (LAST) approach, utilizing the subclavian artery as inflow source. In such cases, however, the left upper lobe of the lung and the lingula may exert unwanted traction on the newly constructed coronary graft. Herein, we describe a detail of technique that eliminates this inconvenience.