Technique of harvesting an internal thoracic artery densely adherent to the periosteum.
The internal thoracic artery (ITA) has been universally accepted as a superior conduit for patients undergoing coronary artery bypass operations. The harvesting of the ITA is a routine procedure. Rarely, one encounters an ITA densely adherent to the overlying periosteum. We describe a technique of safely harvesting such an ITA using an orthopedic chisel. It is harvested along with a thin bone-flap and periosteum, giving a patent and uninjured ITA.
Kumar
Pawan
P
Department of Cardiovascular Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. dr.pawan.k@gmail.com
Yanagawa
Bobby
B
Tuneyosi
Hiroshi
H
Moussa
Fuad
F
Cohen
Gideon
G
Christakis
George
G
Fremes
Stephen
S
D006801:Humans; D008323:Mammary Arteries / Q000601:surgery*; D010521:Periosteum; D000267:Tissue Adhesions; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014652:Vascular Diseases / Q000601:surgery*