John Lindsay C H
Department of Cardiothoracic Surgery, Kings College Hospital, Denmark Hill, London SE5 9RS, United Kingdom.
Heart Lung Circ. 2013 Feb;22(2):156-7. doi: 10.1016/j.hlc.2012.08.002. Epub 2012 Sep 7.
In coronary artery bypass surgery the most commonly used conduit for grafting the left anterior descending artery is the left internal mammary artery. In harvesting the internal mammary artery the parietal pleura is frequently breached. This is associated with increased post operative complications. The diaphragm is not in contact with the parietal pleura anteriorly. The risk of opening the pleura is considerably reduced if the costodiaphragmatic sulcus is developed first. If more cardiac surgeons were aware of the potential of the costodiaphragmatic sulcus then some of the complications associated with coronary artery surgery could be reduced.
在冠状动脉搭桥手术中，用于移植左前降支动脉最常用的管道是左乳内动脉。在获取乳内动脉时，壁层胸膜经常被穿破。这与术后并发症增加有关。膈肌在前方不与壁层胸膜接触。如果首先分离肋膈沟，打开胸膜的风险会大大降低。如果更多的心脏外科医生了解肋膈沟的潜在作用，那么一些与冠状动脉手术相关的并发症就可以减少。
