Year : 2014 | Volume
: 9 | Issue : 3 | Page : 138--143
Save or sacrifice the internal mammary pedicle during anterior mediastinotomy?
Efstratios Apostolakis1, Nikolaos A. Papakonstantinou2, Serafeim Chlapoutakis1, Christos Prokakis1
1 Department of Cardiothoracic Surgery, School of Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece
2 Department of General Surgery, General Oncology Hospital of Kifi ssia "Agioi Anargyroi", 41 Kaliftaki Street, P.C. 14564, Kifissia, Athens, Greece
Ligation and dissection of internal mammary vessels is the most under-estimated complication of anterior mediastinotomy. However, patients requiring anterior 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 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.
Nikolaos A. Papakonstantinou
12 Zilon Street, Rizoupoli, 11142 Athens
|How to cite this article:|
Apostolakis E, Papakonstantinou NA, Chlapoutakis S, Prokakis C. Save or sacrifice the internal mammary pedicle during anterior mediastinotomy?.Ann Thorac Med 2014;9:138-143
|How to cite this URL:|
Apostolakis E, Papakonstantinou NA, Chlapoutakis S, Prokakis C. Save or sacrifice the internal mammary pedicle during anterior mediastinotomy?. Ann Thorac Med [serial online] 2014 [cited 2023 Mar 24 ];9:138-143
Available from: https://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2014;volume=9;issue=3;spage=138;epage=143;aulast=Apostolakis;type=0