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Ann Thorac Surg 1990;50:995-997
© 1990 The Society of Thoracic Surgeons

Articles

Selective and adjustable pericardial flap to protect internal mammary artery grafts

JoséM. González-Santos, MD*, Emilia Bastida, MD, Jose L. Vallejo, MD, Ramón Fortuny, MD, Kamel Abukassem, MD, Oscar A. Ortega, MD, Ramón Arcas, MD

Department of Cardiovascular Surgery, Hospital General "Gregorio Marañón," Universidad Complutense, Madrid, Spain

Accepted for publication August 2, 1990.

* Address reprint requests to Dr González-Santos, Santa Hortensia 31, 4-D, 28002 Madrid, Spain.

We describe the surgical technique of a localized and adjustable pericardial flap to protect internal mammary artery grafts. This flap allows selective pulmonary retraction, maintains pleural integrity, and saves most of the pericardium for later closure. This technique has proved to be simple and highly effective. We have used it in 80 patients and have not had any related complications.




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Protection of the right internal mammary artery in the retorsternal position with stented grafts
Ann. Thorac. Surg., December 1, 1995; 60(6): 1826 - 1828.
[Abstract] [PDF]


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