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Ann Thorac Surg 1997;63:1797-1799
© 1997 The Society of Thoracic Surgeons

How To Do It

Facilitated Exposure of the Internal Mammary Artery in Minimally Invasive Direct-Vision CABG

Erik W. L. Jansen, MD, Hendricus J. Mansvelt Beck, Paul F. Gründeman, MD, PhD, Johan J. Bredée, MD, PhD

Heart Lung Institute, Department of Cardiothoracic Surgery, Utrecht University Hospital, Utrecht, the Netherlands

Accepted for publication December 20, 1996.

A method is described to facilitate harvesting of the mammary artery in minimally invasive direct-vision coronary artery bypass grafting using a 10-cm anterior thoracotomy. Hoisting of the anterior thoracic wall with a modified retractor allows good exposure. Harvesting the mammary artery without the use of endoscopic tools was successful in all 10 cases.


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Invited Commentary
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Ann. Thorac. Surg. 1997 63: 1799. [Extract] [Full Text]



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