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Ann Thorac Surg 1989;48:871-873
© 1989 The Society of Thoracic Surgeons

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Articles

Left thoracotomy approach for coronary artery bypass grafting in patients with pericardial adhesions

Service de Chirurgie Cardiovasculaire, Hôpital de la Pitié, Paris, France

Accepted for publication August 7, 1989.

^_* Address reprint requests to Dr Gandjbakhch, Service de Chirurgie Cardiovasculaire. Hôpital de la Pitié, 83 Boulevard de l'Hôpital, 75013, Paris, France.

The left thoracotomy approach represents a safe alternative to median sternotomy for coronary artery bypass grafting in patients with pericardial adhesions. It provides an excellent exposure to the lateral aspect of the heart, and isolated circumflex coronary revascularization can advantogeously be performed via this approach in select cases.

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