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Ann Thorac Surg 1999;67:567-568
© 1999 The Society of Thoracic Surgeons

How To Do It

Protective wrapping of the internal thoracic artery

Cecil C. Vaughn, MDa,1

a Division of Cardiothoracic Surgery, Phoenix Baptist Medical Center, Phoenix, Arizona, USA

Accepted for publication July 16, 1998.

Address reprint requests to Dr Vaughn, Cardiothoracic & Vascular Surgeons Ltd., 6036 North 19th Ave, Suite 405, Phoenix, AZ 85015

Injury of a patent internal thoracic artery bypass graft in a patient during cardiac reoperation could have catastrophic results. In selected patients who have primary coronary artery bypass grafting using the internal thoracic artery, we wrap the artery pedicle with an expanded polytetrafluoroethylene membrane to facilitate identification and to protect it during reoperation. No occlusions or other complications related to use of the membrane have occurred.




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