TY - JOUR
T1 - Reduced left internal mammary artery blood flow on normal sternal retraction
AU - Kotkar, Kunal Deepak
AU - Chaudhary, Ambuj
AU - Brar, Rahat
AU - Mahant, Tek Singh
PY - 2015/3/17
Y1 - 2015/3/17
N2 - The left internal mammary artery is the conduit of choice for bypassing the left anterior descending artery. A 72-year-old man underwent off-pump triple-vessel coronary artery bypass. The left internal mammary artery was harvested with brisk blood flow from the distal artery on completion of harvesting, but normal sternal retraction with a Medtronic OctoBase retractor led to cessation of flow. A vein graft was utilized for the left anterior descending artery, and the internal mammary artery was grafted to the first diagonal branch. Computed tomography-angiography on postoperative day 5 demonstrated no possible cause of the reduced flow on sternal retraction.
AB - The left internal mammary artery is the conduit of choice for bypassing the left anterior descending artery. A 72-year-old man underwent off-pump triple-vessel coronary artery bypass. The left internal mammary artery was harvested with brisk blood flow from the distal artery on completion of harvesting, but normal sternal retraction with a Medtronic OctoBase retractor led to cessation of flow. A vein graft was utilized for the left anterior descending artery, and the internal mammary artery was grafted to the first diagonal branch. Computed tomography-angiography on postoperative day 5 demonstrated no possible cause of the reduced flow on sternal retraction.
KW - Coronary artery bypass
KW - Internal mammary-coronary artery anastomosis
KW - Intraoperative complications
KW - Sternum
KW - off-pump
UR - http://www.scopus.com/inward/record.url?scp=84923094124&partnerID=8YFLogxK
U2 - 10.1177/0218492313504209
DO - 10.1177/0218492313504209
M3 - Article
C2 - 24887881
AN - SCOPUS:84923094124
SN - 0218-4923
VL - 23
SP - 311
EP - 313
JO - Asian Cardiovascular and Thoracic Annals
JF - Asian Cardiovascular and Thoracic Annals
IS - 3
ER -