Passing the right internal thoracic artery through the transverse sinus
Masaru Yoshikai1, Keiji Kamohara, Junji Yunoki
1Department of Cardiovascular Surgery, Shin-Koga Hospital, 120 Tenjin-cho, Kurume, 830-8577 Fukuoka, Japan.
Surgery Today
|November 8, 2003
Summary
A novel technique safely guides the right internal thoracic artery through the transverse sinus using a vascular tape. This method prevents twisting, ensuring a reliable surgical passage for improved cardiac procedures.
Area of Science:
- Cardiovascular Surgery
- Surgical Techniques
- Anatomy
Background:
- The transverse sinus is a critical anatomical space in cardiac surgery.
- Safe passage of the internal thoracic artery is essential for certain surgical procedures.
- Potential risks include twisting and damage to the artery during manipulation.
Purpose of the Study:
- To present a simple and reliable method for safely passing the right internal thoracic artery through the transverse sinus.
- To minimize the risk of arterial twisting and injury during this maneuver.
Main Methods:
- A 4-mm-wide vascular tape is introduced through the transverse sinus.
- The transected end of the right internal thoracic artery is secured to one end of the tape using a hemoclip.
- Gentle traction on the opposite end of the tape facilitates artery passage.
Main Results:
- The described technique allows for safe and controlled passage of the right internal thoracic artery.
- The method effectively prevents twisting of the artery during translocation.
- The procedure is straightforward and reliable, reducing operative risks.
Conclusions:
- This vascular tape method offers a safe, simple, and reliable approach for passing the right internal thoracic artery through the transverse sinus.
- The technique mitigates the risk of arterial damage, enhancing surgical safety.
- It provides a valuable tool for surgeons performing procedures requiring this specific arterial manipulation.
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