title: [Left thoracotomy: an alternative to median sternotomy in coronary bypass in cases of pericardial adhesions].
abstract: Coronary bypass on the circumflex artery network was performed by left thoracotomy in 5 patients. All presented with pericardial adhesions due to coronary artery surgery (n = 4) or to mediastinal irradiation (n = 1). The left thoracotomy route provides excellent exposure of the lateral aspect of the heart and may be an advantageous alternative to sternotomy when pericardial adhesions are present.
authors.affiliation: Service de chirurgie cardio-vasculaire, hôpital de la Pitié, Paris.
authors.forename: I
authors.initials: I
authors.lastname: Gandjbakhch
authors.forename: C
authors.initials: C
authors.lastname: Acar
authors.forename: R
authors.initials: R
authors.lastname: Akhtar
authors.forename: E
authors.initials: E
authors.lastname: Vaissier
authors.forename: F
authors.initials: F
authors.lastname: Jault
authors.forename: C
authors.initials: C
authors.lastname: Cabrol
mesh_terms: D003327:Coronary Disease / Q000601:surgery*; D006331:Heart Diseases / Q000150:complications; D006801:Humans; D009204:Myocardial Revascularization / Q000379:methods*; D010496:Pericardium; D012086:Reoperation; D013908:Thoracotomy / Q000379:methods*; D000267:Tissue Adhesions
vernacular_title: La thoracotomie gauche: une alternative à la sternotomie médiane pour les pontages coronaires en cas d'adhérences péricardiques.