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Ann Thorac Surg 2004;78:2212
© 2004 The Society of Thoracic Surgeons

Correspondence

Additional Uses of Stabilization Devices in Cardiac Surgery

Reza Motallebzadeh, MRCSa, Robin R. Kanagasabay, FRCSa

a Department of Cardiac Surgery, St. George's Hospital & Medical School, Room 1/168, AMH Wing, Blackshaw Rd, London SW17 0QT, UK

robin.kanagasabay{at}stgeorges.nhs.uk

To the Editor:

We read with interest the article by Athanasiou and colleagues [1] on the expanded use of suction and stabilization devices in cardiothoracic surgery. In our experience, we have found that when carrying out off-pump coronary artery bypass grafting procedures, the epicardial suction device has several other applications besides stabilizing the target coronary artery for construction of the distal anastamosis. As shown in Figure 1, the "feet" of the stabilization device can be used to hold instruments such as a side-biting clamp or arterial clip. In addition, they can be manipulated to retract the right atrium (Fig 2) or right ventricular fat (Fig 3). This is particularly useful when one is performing proximal anastomoses on the ascending aorta.



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  		Fig 1. "Feet" of stabilization device seen holding clamp.

 


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  		Fig 2. "Feet" of stabilization device used to retract the right atrium.

 


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  		Fig 3. "Feet" of stabilization device retracting the right ventricular fat.

 
References

  1. Athanasiou T, Kumar P, Al-Ruzzeh S, et al. Expanded use of suction and stabilization devices in cardiothoracic surgery. Ann Thorac Surg. 2003;76:1126–1130[Abstract/Free Full Text]

Related Article

Reply
Thanos Athanasiou, Omer Aziz, Roberto Casula, and Brian Glenville
Ann. Thorac. Surg. 2004 78: 2212-2213. [Extract] [Full Text] [PDF]




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