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Ann Thorac Surg 2000;69:1280-1281
© 2000 The Society of Thoracic Surgeons

HOW TO DO IT

The heart string: a simple, inexpensive exposure of the heart during coronary artery operations

Hiroshi Niinami, MD, PhDa, Hitoshi Koyanagi, MDa, Peter W. Brady, FRACSb, Donald E. Ross, FRACSa

a Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, Tokyo, Japan
b Department of Cardiothoracic Surgery, Royal North Shore Hospital, Sydney, Australia

Address reprint requests to Dr Niinami, Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan

A method of heart retraction during coronary artery bypass operations is described. The technique improves exposure of the coronary arteries, especially of the circumflex and posterior descending coronary branches during grafting. In addition, it is simple, safe, and inexpensive. Furthermore, this technique can be applied for off-pump coronary artery bypass surgery.




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