Document Detail

Extrapleural Harvesting of the Mammary Artery and the Costodiaphragmatic Sulcus.
MedLine Citation:
PMID:  22959288     Owner:  NLM     Status:  Publisher    
In coronary artery bypass surgery the most commonly used conduit for grafting the left anterior descending artery is the left internal mammary artery. In harvesting the internal mammary artery the parietal pleura is frequently breached. This is associated with increased post operative complications. The diaphragm is not in contact with the parietal pleura anteriorly. The risk of opening the pleura is considerably reduced if the costodiaphragmatic sulcus is developed first. If more cardiac surgeons were aware of the potential of the costodiaphragmatic sulcus then some of the complications associated with coronary artery surgery could be reduced.
Lindsay C H John
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-6
Journal Detail:
Title:  Heart, lung & circulation     Volume:  -     ISSN:  1444-2892     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012. Published by Elsevier B.V.
Department of Cardiothoracic Surgery, Kings College Hospital, Denmark Hill, London SE5 9RS, United Kingdom.
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