Save or sacrifice the internal mammary pedicle during anterior mediastinotomy?
Save or sacrifice the internal mammary pedicle during anterior mediastinotomy?
Blog Article
Ligation and dissection of internal mammary vessels is the most under-estimated complication of anterior mediastinotomy.However, patients requiring anterior CHERRY PLUM 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 Tortilla Bowl Makers 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.