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Ann Thorac Surg 1992;54:947-950
© 1992 The Society of Thoracic Surgeons
California Center for Cardiothoracic Surgery, Thousand Oaks, California, USA
Accepted for publication March 24, 1992.
* Address reprint requests to Dr Cunningham, Columbus Cardiothoracic and Vascular Surgical Associates, 2522 Warm Springs Rd, Columbus, GA 31904.
Skeletonization of the internal thoracic artery during myocardial revascularization procedures may provide some degree of protection from sternal wound infection in diabetic, obese, or pulmonary compromised patients when both internal thoracic arteries are used as conduits. Prior descriptions of the technique fail to provide specific details and possible pitfalls of the dissection. A method of skeletonization that has been used at the California Center for Cardiothoracic Surgery in more than 1,000 patients is presented in detail. Potential advantages and disadvantages are discussed.
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