title: Modified pericardial closure to protect internal mammary artery grafts in coronary artery bypass.
abstract: Redo operations after coronary artery bypass surgery have been on the rise, and myocardial and graft injury during resternotomy a catastrophe. Closure of pericardium after a traditional midline incision may lead to graft distortion. In this report, we will describe a technique of pericardial closure and thymus coverage to protect bilateral internal mammary artery grafts from damage.
authors.affiliation: Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan, Republic of China. jyl5891@ms2.mmh.org.tw
authors.forename: J-Y
authors.initials: JY
authors.lastname: Li
authors.forename: Y-S
authors.initials: YS
authors.lastname: Chen
authors.forename: S-J
authors.initials: SJ
authors.lastname: Wu
authors.forename: P-Y
authors.initials: PY
authors.lastname: Hu
mesh_terms: D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D010496:Pericardium / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D013249:Sternum / Q000601:surgery