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Ann Thorac Surg 1993;56:181-182
© 1993 The Society of Thoracic Surgeons

Articles

Retrocaval routing of the right internal thoracic artery

Michael B. Pliam, MD, PhD*, Alex Zapolanski, MD

Division of Cardiothoracic Surgery, San Francisco Heart Institute at Seton Medical Center, Daly City, California USA

Accepted for publication March 18, 1993.

* Address reprint requests to Dr Pliam, San Francisco Heart Institute at Seton Medical Center, 1800 Sullivan Ave, Daly City, CA 94015.

Enhanced use of the right internal thoracic artery affords further opportunity for myocardial revascutarization using predominantly arterial conduits. High proximal dissection and routing of the right internal thoracic artery behind the superior vena cava can sometimes allow additional length to the right internal thoracic artery pedicle to facilitate the grafting of posterior and lateral coronary arteries via a less circuitous, more protected route.




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