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How to tailor A "pi" graft for complex myocardial revascularization: a variant of the mammary loop technique. | LitMetric

How to tailor A "pi" graft for complex myocardial revascularization: a variant of the mammary loop technique.

Ann Thorac Surg

Department of Thoracic and Cardiovascular Surgery, Hôpital Jean Minjoz, Besançon, France.

Published: March 2005

AI Article Synopsis

  • A new surgical technique is introduced for creating a "pi" graft using the mammary loop method, which improves on existing methods.
  • The approach involves careful preparation of the internal thoracic mammary arteries, where the right artery is connected to the left in a "Y" shape.
  • This method optimizes the use of the mammary arteries' length and allows for precise measurements to be taken for the coronary anastomosis during surgery.

Article Abstract

We present a new pattern for tailoring the "pi" graft that uses the advantages of the mammary loop technique. The two internal thoracic mammary arteries are skeletonized. The free right mammary artery is anastomosed end-to-side to the proximal part of the in situ left mammary artery to make a "Y" graft. The distal end of the left mammary artery is anastomosed end-to-side to the middle portion of the right one to form a loop with the two arteries. The loop is severed at the appropriate level at the time of the coronary anastomosis to form a "pi" graft. This technique allows a more rational use of the length of the two mammary arteries, because the branch leading to the left anterior descending artery is measured and cut precisely at the time of the anastomosis.

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Source
http://dx.doi.org/10.1016/j.athoracsur.2003.12.034DOI Listing

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