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The Journal of Thoracic and Cardiovascular Surgery, Vol 95, 346-347, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Protection and expanded use of the left internal mammary artery graft by pericardial flap technique

BE Berry, DJ Davis, CH Sheely 2d and MT Hackler
Department of Thoracic Surgery, Baton Rouge General Medical Center, La.

A pericardial flap can protect and enhance the use of the left internal mammary artery. The left free edge of the pericardium is sutured to the anterior chest wall, which protects the left internal mammary artery graft from lung encroachment and provides a more direct course. In our large experience, including several reoperations, no internal mammary artery was injured.

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