Reoperative Coronary Artery Bypass Surgery: Avoiding Repeat Median Sternotomy Kenji Takahashi, MD, Susumu Takeuchi, MD, Kazuo Ito, MD, Mari Chiyoya, MD,

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Reoperative Coronary Artery Bypass Surgery: Avoiding Repeat Median Sternotomy Kenji Takahashi, MD, Susumu Takeuchi, MD, Kazuo Ito, MD, Mari Chiyoya, MD, Norihiro Kondo, MD, Masahito Minakawa, MD The Annals of Thoracic Surgery Volume 94, Issue 6, Pages 1914-1919 (December 2012) DOI: 10.1016/j.athoracsur.2012.07.007 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) A new lesion was identified beyond the previous anastomotic site where the left descending coronary artery (LAD) was bypassed using the left internal thoracic artery (LITA). At reoperation, a new anastomosis was performed to the high lateral branch (HLB), first diagonal branch (D1), and LAD from the left subclavicular artery (LSA) using the radial artery (RA). (B) Magnified view of anastomoses in A. Arrows indicate the anastomosis sites. The Annals of Thoracic Surgery 2012 94, 1914-1919DOI: (10.1016/j.athoracsur.2012.07.007) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Stabilizer attachment. (B) Close-up view of stabilizer position. (RPD = right posterior descending artery.) The Annals of Thoracic Surgery 2012 94, 1914-1919DOI: (10.1016/j.athoracsur.2012.07.007) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions