Save or sacrifice the internal mammary pedicle during anterior mediastinotomy?
Annals of Thoracic Medicine. 2014; 9 (3): 138-143
em Inglês
| IMEMR
| ID: emr-146968
ABSTRACT
Ligation and dissection of internal mammary vessels is the most under-estimated complication of anterior mediastinotomy. However, patients requiring anterior mediastinotomy may experience long survival that makes the development of ischemic heart disease throughout their life possible. Therefore, the un-judicial sacrifice of the internal mammary pedicle may deprive them from the benefit to have their internal mammary artery used as a graft in order to successfully bypass severe left anterior descending artery stenoses. We recommend the preservation of the internal mammary pedicle during anterior mediastinotomy, which should be a common message among our colleagues from the beginning of their training
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Índice:
IMEMR (Mediterrâneo Oriental)
Idioma:
Inglês
Revista:
Ann. Thorac. Med.
Ano de publicação:
2014
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