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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2000 June;41(3):495-7

THORACIC PAPERS 

    CASE REPORTS

Left internal thoracic artery harvesting in pleural sym-physes under minimally invasive direct vision

Morishita K., Tamiya Y., Komatsu K., Koshino T., Abe T.

From the Depart­ment of Tho­racic and Car­di­o­vas­cular Sur­gery Sap­poro Med­ical Uni­ver­sity ­School of Med­i­cine, Sap­poro, ­Japan

In min­i­mally inva­sive ­direct cor­o­nary ­artery ­bypass ­grafting (­MIDCAB), the ­internal tho­racic ­artery (ITA) is har­vested ­under a ­direct-­vision or vid­eo­tho­rac­os­copic tech­niques. How­ever, what­ever the tech­nique ­used, ­dense ­pleural adhe­sions ­hamper ITA har­vesting. We ­describe the ­case of a ­patient who under­went ­MIDCAB 40 ­years ­after a pul­mo­nary resec­tion for tuber­cu­losis. The ­parietal ­pleura ­adhered to the ­left ­lung so ­firmly ­that we ­could not ­enter the intra­pleural ­cavity. There­fore, the ITA was har­vested ­creating an extra­pleural ­tunnel. ­Although ­this ­approach ­resulted in ­more oper­ating ­time and ­bleeding, an anas­tom­osis ­between the ITA and ­left ante­rior ­descending cor­o­nary ­artery was per­formed suc­cess­fully. We ­believe ­that ­MIDCAB can be car­ried out ­even in ­patients ­with ­dense ­pleural adhe­sions.

language: English


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