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Two questions on bilateral internal mammary artery usage

Haralabos Parissis1, Zeb Chughtai, Alan Soo

  • 1Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, UK.

Asian Cardiovascular & Thoracic Annals
|February 27, 2014
PubMed

The use of a single internal mammary graft to the left anterior descending artery has been the gold standard in surgical coronary revascularization since its introduction. However, the take-up rate of use of bilateral internal mammary arteries has been slow despite emerging evidence. This has been partly due to the worry of postoperative complications, in particular, sternal wound complications. Skeletonization of the internal mammary has been proposed as a technique that can preserve the sternal microcirculation and therefore reduce this complication. In this article, we examine the evidence comparing the skeletonization technique versus the conventional pedicled technique for harvesting the internal mammary artery.

Keywords:
Cardiovascular surgical procedurescoronary artery bypassinternal mammary arteriessternumsurgical wound dehiscence

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