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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,

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Presentation on theme: "Reoperative Coronary Artery Bypass Surgery: Avoiding Repeat Median Sternotomy  Kenji Takahashi, MD, Susumu Takeuchi, MD, Kazuo Ito, MD, Mari Chiyoya, MD,"— Presentation transcript:

1 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 (December 2012) DOI: /j.athoracsur Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

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

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