Supraclavicular control of patent internal thoracic artery graft flow during aortic valve replacement Erkan Kuralay, MD, Faruk Cingöz, MD, Celalettin.

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Presentation transcript:

Supraclavicular control of patent internal thoracic artery graft flow during aortic valve replacement Erkan Kuralay, MD, Faruk Cingöz, MD, Celalettin Günay, MD, Bilgehan Savaş Öz, MD, Nezihi Küçükarslan, MD, Vedat Yildirim, MD, S.Yavuz Sanisoglu, MD, Ertuğrul Özal, MD, Ufuk Demırkiliç, MD, Mehmet Arslan, MD, Harun Tatar, MD The Annals of Thoracic Surgery Volume 75, Issue 5, Pages 1422-1428 (May 2003) DOI: 10.1016/S0003-4975(02)04989-5 Copyright © 2003 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Supraclavicular skin incision. Patient’s head turned to right with the shoulders elevated with pad. The skin incision is made 1 cm above the clavicle and extends from the sternoclavicular joint to the lateral portion of the supraclavicular region for about 8 to 10 cm. (B) Extrathoracic proximal control of LITA. Dissection of the deep cervical layer was completed. Anterior scalene muscle was divided. Both LITA and vertebral artery were identified. LITA was clamped just before aortic cross-clamping. (LITA = left internal thoracic artery.). The Annals of Thoracic Surgery 2003 75, 1422-1428DOI: (10.1016/S0003-4975(02)04989-5) Copyright © 2003 The Society of Thoracic Surgeons Terms and Conditions