title: Technique of harvesting an internal thoracic artery densely adherent to the periosteum.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. dr.pawan.k@gmail.com
authors.forename: Pawan
authors.initials: P
authors.lastname: Kumar
authors.forename: Bobby
authors.initials: B
authors.lastname: Yanagawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tuneyosi
authors.forename: Fuad
authors.initials: F
authors.lastname: Moussa
authors.forename: Gideon
authors.initials: G
authors.lastname: Cohen
authors.forename: George
authors.initials: G
authors.lastname: Christakis
authors.forename: Stephen
authors.initials: S
authors.lastname: Fremes
mesh_terms: D006801:Humans; D008323:Mammary Arteries / Q000601:surgery*; D010521:Periosteum; D000267:Tissue Adhesions; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014652:Vascular Diseases / Q000601:surgery*