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Pawan Kumar
Anil G. Tendolkar
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Ann Thorac Surg 2006;81:2326-2327
© 2006 The Society of Thoracic Surgeons

How to do it

Technique of Lung Retraction During Internal Mammary Artery Harvesting

Pawan Kumar, MCh * , Uday E. Jadhav, MCh, Anil G. Tendolkar, MS

Department of Cardiovascular and Thoracic Surgery, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, India

Accepted for publication March 14, 2005.

* Address correspondence to Dr Kumar, Department of Cardiovascular and Thoracic Surgery, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, 400 022 India (Email: pawkum73{at}yahoo.com).

We describe a novel technique for lung retraction during dissection of the internal mammary artery for its use in coronary artery bypass grafting. The lung is retracted using the blades of the Octopus (Medtronic Inc, Minneapolis, MN) suction stabilizer, without the suction connected. This technique can be used when the internal mammary artery is harvested by widely opening the pleura or by the extrapleural approach. This technique makes mammary artery dissection easy, and it can be used for harvesting internal mammary arteries bilaterally. The method described is simple, causes no impairment in gas exchange, and offers no additional expense, because the same stabilizer would be used later for the off-pump coronary artery bypass surgery.






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