Choghari C, Heymans O, Geens M, Joris M
Department of Cardiovascular Surgery, Hôpital Civil de Jumet, Brussels, Belgium.
Ann Thorac Surg. 1996 Oct;62(4):1182-3. doi: 10.1016/0003-4975(96)00496-1.
In a patient with pectus excavatum, coronary artery bypass grafting with the internal mammary artery is difficult or even impossible through a median sternotomy. We suggest and describe an anterolateral thoracotomy that, in this particular case, not only allowed taking the internal mammary artery but also provided an excellent exposure of the anterolateral aspect of the heart.
对于漏斗胸患者,经正中胸骨切开术使用乳内动脉进行冠状动脉旁路移植术困难甚至不可能。我们建议并描述了一种前外侧开胸手术,在这种特殊情况下,该手术不仅能够获取乳内动脉,还能很好地暴露心脏前外侧。