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Ann Thorac Surg 1997;63:561-562
© 1997 The Society of Thoracic Surgeons

How To Do It

"LIMA Fissure" for a Tension-Free IMA Graft in Emphysema

Podila Sita Rama Rao, MCh, Krishna M. Natarajan, FRCA, Graham Morritt, FRCS

Departments of Cardiothoracic Surgery and Cardiothoracic Anaesthesia & Intensive Care, South Cleveland Hospital, Middlesbrough, United Kingdom

Accepted for publication August 15, 1996.

Tension on the mammary artery pedicle is a major concern during coronary artery bypass in asthmatic patients with emphysematous lungs. We are sharing here a simple and effective solution to this problem.




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F. H. Bernet, M. T.R. Grapow, and H.-R. Zerkowski
How to avoid traction to a pedicled internal thoracic artery graft
J. Thorac. Cardiovasc. Surg., May 1, 2005; 129(5): 1186 - 1187.
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D. G. Morritt, S. S. Shah, A. N. Morritt, and P. Kaul
Acute transection of the left internal mammary artery remote from the anastomosis following coronary artery bypass surgery
Interactive CardioVascular and Thoracic Surgery, December 1, 2004; 3(4): 653 - 655.
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