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Ann Thorac Surg 1990;50:316-317
© 1990 The Society of Thoracic Surgeons

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Articles

Hemostatic technique for internal mammary artery anastomotic bleeding

Bombay Hospital Institute of Medical Sciences and Breach Candy Hospital and Medical Research Centre, Bombay, India

Accepted for publication April 26, 1990.

^_* Address reprint requests to Dr Bhattacharyya, 42, White Hall, 143, August Kranti Marg, Kemps Corner, Bombay 400 036, India.

When internal mammary artery is used for myocardial revascularization, a not uncommon occurrence is intraoperative bleeding from the internal mammary artery to coronary artery anastomosis. The conventional method of hemostasis of placing additional sutures across the suture line may produce anastomotic stenosis or may aggravate the bleeding by producing tears, especially as these additional sutures are placed on a beating heart. We describe a simple technique by which hemostasis can be achieved without the risk of anastomotic stenosis or aggravation of the bleeding, as it avoids placing sutures over the anastomotic suture line.