Use of a retractor designed to harvest an internal thoracic artery graft during cardiac surgery for patients with a unilateral lung.
Adequate exposure of the heart is required for safe cardiac surgery. We performed open heart surgery for 2 patients with a unilateral lung. In one patient, coronary artery bypass grafting was performed 13 years after left pneumonectomy for lung cancer. Mitral valve replacement was performed in the other patient whose left lung was entirely collapsed due to tuberculosis. The heart was markedly deviated to the left in both patients. A retractor designed to harvest the internal thoracic artery was very useful to obtain a good operative view of the heart. The operations were uncomplicated, and postoperative recovery was uneventful in both patients.
Suehiro
S
S
Division of Cardiovascular Surgery, Second Department of Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno, Osaka 545-8585.
Shibata
T
T
Sasaki
Y
Y
Murakami
T
T
Hosono
M
M
Fujii
H
H
Kinoshita
H
H
D000368:Aged; D000787:Angina Pectoris / Q000209:etiology / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D004869:Equipment Safety; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D011013:Pneumonectomy; D013525:Surgical Instruments; D014376:Tuberculosis / Q000150:complications