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Ann Thorac Surg 1997;63:867-868
© 1997 The Society of Thoracic Surgeons

How To Do It

Semiskeletonization of Internal Thoracic Artery: Alternative Harvest Technique

Taiko Horii, MD, Hisayoshi Suma, MD

Department of Cardiovascular Surgery, Shonan Kamakura General Hospital, Kamakura, Japan

Accepted for publication October 4, 1996.

A simple technique of harvesting the internal thoracic artery is described. Harvesting the internal thoracic artery as a thin pedicle without the endothoracic fascia is advantageous in terms of obtaining its maximum length, dissecting a narrow space, avoiding pleural opening, and facilitating handling of the internal thoracic artery during the coronary anastomoses. This alternative technique requires almost the same skill and time as the conventional wide pedicle technique.




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