Retrosternal adhesiolysis through an anterior minithoracotomy: A novel approach facilitating complete median redo sternotomy with a patent internal thoracic.

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Retrosternal adhesiolysis through an anterior minithoracotomy: A novel approach facilitating complete median redo sternotomy with a patent internal thoracic artery graft Issam Ismail, MD, Ruoyu Zhang, MD, Kristina Ringe, MD, Stefan Fischer, MD, MSc, PhD, Axel Haverich, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 137, Issue 4, Pages 1034-1035 (April 2009) DOI: 10.1016/j.jtcvs.2008.03.028 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Preoperative 64-slice thoracic computed tomographic analysis demonstrated the left internal thoracic artery (ITA) graft crossing the sternal midline and adherence to the posterior wall of the sternum. B, Postoperative 64-slice computed tomographic scans confirmed the patency of the new bypass grafts and ruled out injury or occlusion of the previous left ITA and vein graft. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 1034-1035DOI: (10.1016/j.jtcvs.2008.03.028) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Right anterior thoracotomy through the third intercostal space as access for the subsequent retrosternal adhesiolysis. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 1034-1035DOI: (10.1016/j.jtcvs.2008.03.028) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions