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The Annals of Thoracic Surgery, Vol 56, 181-182, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Retrocaval routing of the right internal thoracic artery

MB Pliam and A Zapolanski
Division of Cardiothoracic Surgery, San Francisco Heart Institute, Seton Medical Center, Daly City, California 94015.

Enhanced use of the right internal thoracic artery affords further opportunity for myocardial revascularization 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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