| Technique for reoperative median sternotomy in the presence of a patent left internal mammary artery graft. | |
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MedLine Citation:
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PMID: 8012099 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Damage to a patent left internal mammary artery (IMA) graft during reoperation can be catastrophic. An organized approach to reenter the mediastinum in the presence of a functioning left IMA graft is described. The sternum is opened using an oscillating saw to carefully divide the anterior and posterior tables. The right side is then dissected out first, exposing the aorta and right atrium. After placing pursestring sutures for cannulation, attention is turned to the left side. An IMA retractor is used to elevated the left edge of the sternum in incremental stages. The dissection is begun at the inferior end of the sternum, exposing the distal anastomosis first and then dissecting superiorly anterior to the IMA. A Doppler flow detector probe is used to assist in locating the artery in the adhesions. |
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Authors:
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A Elami; H Laks; G Merin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of cardiac surgery Volume: 9 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 1994 Mar |
Date Detail:
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Created Date: 1994-07-26 Completed Date: 1994-07-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 123-7 Citation Subset: IM |
Affiliation:
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Division of Cardiothoracic Surgery, UCLA School of Medicine. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Artery Bypass
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adverse effects*,
instrumentation,
methods* Dissection Humans Intraoperative Complications / prevention & control* Mammary Arteries / injuries*, transplantation*, ultrasonography Monitoring, Intraoperative / methods Reoperation / adverse effects*, instrumentation, methods* Sternum / surgery* Suture Techniques Wounds and Injuries / etiology, prevention & control |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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