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Interactive Cardiovascular and Thoracic Surgery 2:87-90(2003)
© 2003 European Association of Cardio-Thoracic Surgery

New ideas - Coronary

A unilateral approach to bilateral thoracoscopic internal mammary artery harvesting

Thomas A. Vassiliades, Jr*

The Pensacola Heart Institute, 5151 North Ninth Avenue, Suite 200, Pensacola, FL 32504, USA

* Tel.: +1-850-857-1734; fax: +1-850-857-1745
vassiliades{at}pol.net

A technique of harvesting both internal mammary arteries thoracoscopically using three unilateral ports is described. Bilateral thoracoscopic internal mammary artery (IMA) harvesting was performed using a unilateral approach in 18 patients. The mean harvest time for harvesting was 52.3±17.5 min for the contralateral LIMA and 35.6±6.7 min for the ipsilateral RIMA. The mean free flow for the 36 harvested arteries was 58.7±13.6 cc/min. Bilateral thoracoscopic IMA harvesting, from a single side, is safe and reproducible. Satisfactory length of both arterial conduits can be obtained with half the ports and in less time than harvesting from each side.

Key Words: Thoracoscopy; Coronary artery bypass




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[Abstract] [Full Text] [PDF]


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