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Ann Thorac Surg 1996;62:1182-1183
© 1996 The Society of Thoracic Surgeons

Case Report

Left Thoracotomy for Coronary Bypass in a Patient With Pectus Excavatum

Chaouki Choghari, MD, Oliver Heymans, MD, Marcel Geens, MD, Marc Joris, MD

Department of Cardiovascular Surgery, Hôpital Civil de Jumet, Brussels, Belgium

Accepted for publication May 6, 1996.

In a patient with pectus excavatum, coronary artery bypass grafting with the internal mammary artery is difficult or even impossible through a median sternotomy. We suggest and describe an anterolateral thoracotomy that, in this particular case, not only allowed taking the internal mammary artery but also provided an excellent exposure of the anterolateral aspect of the heart.




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