Case Report
Keeping the Patent Internal Mammary Artery out of Harm’s way at Future Reoperation
University Hospital Coventry and Warwickshire, UK
Received Date: October 04, 2018; Published Date: October 15, 2018
Abstract
Keeping a patent left internal mammary artery (LIMA) at re-operation is a challenging task. This crucial graft can be damaged at sternal re-entry for redo surgery in various steps. We devised a technique to minimise this risk. The result of this technique is a patent LIMA routed through a trans pleural tunnel, away from the midline and protected by a layer of the parietal pleura, pleuropericardial fat and pericardium.
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