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Ann Thorac Surg 2005;80:1530-1531
© 2005 The Society of Thoracic Surgeons

How to do it

A Technique for Salvaging a Critical Internal Mammary Artery Bypass Graft Damaged During Resternotomy

Sridhar Rathinam, FRCS a , Ramesh Gohil, ACP b , James Galea, FRCS a , Bruce E. Keogh, FRCS a , *

a Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, University Hospitals Birmingham, Edgbaston, Birmingham, United Kingdom
b Department of Perfusion, Queen Elizabeth Hospital, University Hospitals Birmingham, Edgbaston, Birmingham, United Kingdom

Accepted for publication April 20, 2004.

* Address reprint requests to Dr Keogh, Queen Elizabeth Hospital, University Hospitals Birmingham, Edgbaston, Birmingham B17 8RP, UK (Email: bruce.keogh{at}uhb.nhs.uk).

Resternotomy in the presence of a patent internal mammary artery graft poses an addition hazard to the reoperation. We describe a situation in which the patent mammary artery graft to the left anterior descending artery was severed and retracted during sternal reentry for an aortic valve replacement. We illustrate a simple technique for restoring the blood supply using a coronary artery shunt.






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Copyright © 2005 by The Society of Thoracic Surgeons.