Technique of harvesting an internal thoracic artery densely adherent to the periosteum.

Kumar, Pawan; Yanagawa, Bobby; Tuneyosi, Hiroshi; Moussa, Fuad; Cohen, Gideon; Christakis, George; Fremes, Stephen · Ann Thorac Surg · 2010

case_report · Level V

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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.

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