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