Modified sternal retractor and internal mammary artery forceps for myocardial revascularisation

1991 ◽  
Vol 7 (1) ◽  
pp. 56-57
Author(s):  
Solomon Victor
1995 ◽  
Vol 3 (3-4) ◽  
pp. 123-127 ◽  
Author(s):  
Sarajit Kumar Das ◽  
Nainar Madhu Sankar ◽  
Velivela Satyaprasad ◽  
Vellayikodath Velayudhan Bashi ◽  
Kotturathu Mammen Cherian

Bilateral internal mammary artery grafts were used for direct myocardial revascularisation in 72 patients from August 1988 to January 1994. Twenty-five of them had diffuse coronary artery disease. The coronary arteries were small in the majority of patients and 10 patients needed endarterectomy. Two patients died in the hospital. Fifty-nine patients were followed up and the mean time of follow-up was 25 months. One patient died during the follow-up period and another patient developed inferior wall myocardial infarction. Three patients are on antianginal medications and the rest are doing well.


2020 ◽  
Author(s):  
L. Saemann ◽  
A. Zubarevich ◽  
F. Wenzel ◽  
S. Korkmaz-Icöz ◽  
M. Karck ◽  
...  

2016 ◽  
Vol 19 (1) ◽  
pp. 033
Author(s):  
Takahiro Taguchi ◽  
Jeswant Dillon ◽  
Mohd Azhari Yakub

A 55-year-old man developed severe mitral regurgitation with persistent fungal infective endocarditis 8 months after coronary artery bypass grafting with a left internal mammary artery and 2 saphenous veins, as well as mitral valve repair with a prosthetic ring. Echocardiography demonstrated severe mitral regurgitation and a valvular vegetation. Computed tomography coronary arteriography indicated that all grafts were patent and located intimately close to the sternum. Median resternotomy was not attempted due to the risk of injury to the bypass grafts, and therefore, a right anterolateral thoracotomy approach was utilized. Mitral valve replacement was performed with the patient under deep hypothermia and ventricular fibrillation without aortic cross-clamping. The patient`s postoperative course was uneventful. Thus, right anterolateral thoracotomy may be a superior approach to mitral valve surgery in patients who have undergone prior coronary artery bypass grafting.


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