Extrapleural takedown of the internal mammary artery as a pedicle

Effect of Pleurotomy on Blood Loss During Coronary Artery Bypass Grafting

“…Although there are conflicting data on some prospective studies, 8 several authors concluded that closed pleural technique is superior in terms of postoperative bleeding 3,6,13 . We demonstrated that the amount of blood transfusion was higher in patients with open pleura.…”

“…IMA is a widely accepted and almost an “ideal” graft for myocardial revascularization. The technique of IMA harvesting has been discussed in several papers 3,4,10,11 . Pediculated technique is preferred by all surgeons at our institution.…”

“…The technique of IMA harvesting has been discussed in several papers. 3,4,10,11 Pediculated technique is preferred by all surgeons at our institution. But the major disagreement about IMA harvesting is whether to preserve pleural integrity or not.…”

“…Superior long‐term graft patency and reduced cardiac events make internal mammarian artery (IMA) “the conduit of choice” when compared to saphenous vein in myocardial revascularization. Long‐term patency rate of IMA as a coronary graft has been documented well in many reports 1‐4 . There are various techniques for harvesting the IMA like peduculated, skeletonized, and semi‐skeletonized.…”

“…Long-term patency rate of IMA as a coronary graft has been documented well in many reports. [1][2][3][4] There are various techniques for harvesting the IMA like peduculated, skeletonized, and semi-skeletonized. According to the surgeon's preference pleural integrity can either be protected or not in conjunction with all those techniques.…”