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Ann Thorac Surg 2005;79:361-362
© 2005 The Society of Thoracic Surgeons

How to do it

Partial Right Internal Thoracic Artery Harvesting is Sufficient for Obtuse Marginal Branch Bypass Grafting

Jacob Zeitani, MDa,*, Alfonso Penta de Peppo, MDb, Ruggero De Paulis, MDa, Paolo Nardi, MDa, Antonio Scafuri, MDa, Francesco Versaci, MDa, Luigi Chiariello, MDa

a Division of Cardiac Surgery, Tor Vergata University, Rome, Italy
b Second University of Naples, Naples, Italy

Accepted for publication September 22, 2003.

* Address reprint requests to Dr Zeitani, Division of Cardiac Surgery, Tor Vergata University, European Hospital, Via Portuense 700, 00149 Rome, Italy
zeitani{at}hotmail.com

My colleagues and I present a method for revascularizing the left anterolateral myocardial wall by using an in situ left internal thoracic artery to left anterior descending coronary artery system and a short proximal segment (3 to 5 cm) of the right internal thoracic artery in Y fashion anastomosed to the in situ left internal thoracic artery to revascularize the obtuse marginal branches. With this technique the left ventricular anterolateral wall can be revascularized with both internal thoracic arteries, leaving a consistent residual blood supply to the right hemisternum.




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J. Zeitani, A. P. de Peppo, R. De Paulis, P. Nardi, A. Scafuri, S. Nardella, and L. Chiariello
Benefit of Partial Right-Bilateral Internal Thoracic Artery Harvesting in Patients at Risk of Sternal Wound Complications
Ann. Thorac. Surg., January 1, 2006; 81(1): 139 - 143.
[Abstract] [Full Text] [PDF]


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