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Ann Thorac Surg 2006;82:1108-1110
© 2006 The Society of Thoracic Surgeons


Case report

Intraoperative Doppler Velocity Measurements to Locate Patent ITA Grafts at Reoperation

Attilio A. Lotto, MD, MRCSI, W. Andrew Owens, MD, FRCS(C-Th)*

Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, United Kingdom

Accepted for publication January 5, 2006.

* Address correspondence to Dr Owens, Department of Cardiothoracic Surgery, James Cook University Hospital, Marton Rd, Middlesbrough, TS4 3BW United Kingdom (Email: andrew.owens{at}stees.nhs.uk).

We are reporting a case of a patient who underwent an aortic valve replacement with previous coronary artery bypass grafting. During the operation we used a Doppler velocity probe to locate the exact position of the bilateral internal thoracic arteries. Once the vessels were identified, a suture was passed widely around each internal thoracic artery and a snare was positioned. With the aid of the Doppler velocity probe, we achieved a gentle occlusion of the vessels, applying enough traction on the snares to abolish the flow through the internal thoracic arteries.




This article has been cited by other articles:


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Ann. Thorac. Surg.Home page
A. Elami
Patent Internal Thoracic Grafts and Reoperations
Ann. Thorac. Surg., July 1, 2007; 84(1): 359 - 359.
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Ann. Thorac. Surg.Home page
A. A. Lotto and W. A. Owens
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Ann. Thorac. Surg., July 1, 2007; 84(1): 359 - 360.
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