Saxena Pankaj, Mejia Ross, Tam Robert
Department of Cardiac Surgery, The Prince Charles Hospital, Chermside, Brisbane, Queensland, Australia.
Ann Thorac Surg. 2005 Jul;80(1):355-6. doi: 10.1016/j.athoracsur.2004.02.004.
Use of internal thoracic arteries in coronary artery bypass surgery has become universal. Skeletonized internal thoracic artery is useful in coronary artery surgery for sequential anastomosis as it also provides a long length of graft. Skeletonizing the conduit is technically more difficult than harvesting it as a pedicle graft. We describe a technique of harvesting the internal thoracic artery in which 10 to 20 mL of normal saline is injected into the fascial plane of the left side of chest wall along the course of artery to develop a plane of dissection.
在冠状动脉搭桥手术中使用胸廓内动脉已变得十分普遍。骨骼化胸廓内动脉在冠状动脉手术中用于序贯吻合很有用，因为它还能提供较长的移植物长度。将管道骨骼化在技术上比切取带蒂移植物更困难。我们描述一种切取胸廓内动脉的技术，即沿动脉走行向胸壁左侧的筋膜平面注入10至20毫升生理盐水以形成一个解剖平面。
