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Ann Thorac Surg 1998;65:553
© 1998 The Society of Thoracic Surgeons

Case Reports

Partial Breast Necrosis After MIDCABG via Small Anterolateral Thoracotomy

Yaron Har-Shai, MD, Roni Ammar, MD, Amir Taran, MD, Ami Barak, MD, Shraga Mayblum, MD, Gideon Uretzky, MD

Plastic Surgery Unit, Carmel Medical Center, Haifa, Israel
Department of Cardiothoracic Surgery, Carmel Medical Center, Haifa, Israel

Accepted for publication September 24, 1997.

Dr Har-Shai, Plastic Surgery Unit, Carmel Medical Center, 7 Michal St. Haifa 34362, Israel.

We report a case in which partial breast necrosis developed after minimally invasive direct coronary artery bypass grafting using an IMA Retractor (Cardio-Thoracic Systems Inc, Cupertino, CA). We suggest that during minimally invasive direct coronary artery bypass grafting in the presence of a large breast, it is advisable to reduce the intraoperative additive forces of pressure and traction caused by the retractor arm on the breast tissue, thus avoiding further excessive compression on the partially compromised blood circulation of the breast.






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