Technique to protect the internal mammary artery pedicle.
A simple technique to protect the internal mammary artery pedicle from injury in reoperative sternotomies is described. It consists of a pericardial window created by two pericardial flaps with displacement of the mammary pedicle away from the midline.
Blanche
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C
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.
Santibanez-Gallerani
A
A
D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D010491:Pericardial Window Techniques; D012086:Reoperation; D013249:Sternum / Q000601:surgery