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Ann Thorac Surg 1995;60:1824-1825
© 1995 The Society of Thoracic Surgeons

How to Do It

Technique to Protect the Internal Mammary Artery Pedicle

Carlos Blanche, MD, Alberto Santibanez-Gallerani, MD

Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California

Accepted for publication July 5, 1995.

A simple technique to protect the internal mammary artery pedicle from injury in reoperative sternotomies is described. It consists of a pericardial window created by two pericardial flaps with displacement of the mammary pedicle away from the midline.




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