Document Detail

Left internal thoracic artery harvesting in pleural symphyses under minimally invasive direct vision.
MedLine Citation:
PMID:  10952349     Owner:  NLM     Status:  MEDLINE    
In minimally invasive direct coronary artery bypass grafting (MIDCAB), the internal thoracic artery (ITA) is harvested under a direct-vision or videothoracoscopic techniques. However, whatever the technique used, dense pleural adhesions hamper ITA harvesting. We describe the case of a patient who underwent MIDCAB 40 years after a pulmonary resection for tuberculosis. The parietal pleura adhered to the left lung so firmly that we could not enter the intrapleural cavity. Therefore, the ITA was harvested creating an extrapleural tunnel Although this approach resulted in more operating time and bleeding, an anastomosis between the ITA and left anterior descending coronary artery was performed successfully. We believe that MIDCAB can be carried out even in patients with dense pleural adhesions.
K Morishita; Y Tamiya; K Komatsu; T Koshino; T Abe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  41     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-09-12     Completed Date:  2000-09-12     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  495-7     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Japan.
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MeSH Terms
Coronary Angiography
Coronary Disease / complications,  radiography,  surgery*
Internal Mammary-Coronary Artery Anastomosis / methods*
Mammary Arteries / radiography,  transplantation*
Pleura / blood supply,  surgery*
Thoracic Surgery, Video-Assisted*
Tissue and Organ Harvesting / methods*
Tuberculosis, Pulmonary / complications,  surgery

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