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

Published byἈλφαῖος Παυλόπουλος Modified over 5 years ago

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Presentation on theme: "Retrosternal adhesiolysis through an anterior minithoracotomy: A novel approach facilitating complete median redo sternotomy with a patent internal thoracic."— Presentation transcript:

1 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 (April 2009) DOI: /j.jtcvs Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

2 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  , DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

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

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