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HOW TO RECYCLE A MISUSED LEFT INTERNAL THORACIC ARTERY: TIPS AND TRICKS
  • +3
  • monica contino,
  • Massimo Lemma,
  • andrea mangini,
  • claudia romagnoni,
  • Paolo Vanelli,
  • Carlo Antona
monica contino
ASST Fatebenefratelli Sacco
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Massimo Lemma
Jilin University
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andrea mangini
ASST Fatebenefratelli Sacco
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claudia romagnoni
ASST Fatebenefratelli Sacco
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Paolo Vanelli
ASST Fatebenefratelli Sacco
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Carlo Antona
Università degli Studi di Milano
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Abstract

In this case report we describe how to recycle the Left Internal Thoracic Artery (LITA) when misused but not damaged. 8 years after a Left Anterior Small Thoracotomy followed by LAD stenting for STEMI in 1st post-operative day, a 67 years old woman had a NSTEMI with angiographic evidence of intra-stent re-stenosis with a perfectly patent LITA, harvested only from the 4th to the 6th intercostal space. During redo surgery, LITA was harvested as a pedicle from the anastomosis to the 4th intercostal space and primarily from the 1st to the 4th intercostal space. Special attention was paid at the level of the 4th intercostal space where the vessel was stuck to the sternum: a 15 blade was used being scissors or cautery too dangerous. At the end of harvesting, the LITA was full-length available for a new coronary anastomosis on LAD, distal to the previous one.

Peer review status:ACCEPTED

26 Apr 2021Submitted to Journal of Cardiac Surgery
27 Apr 2021Submission Checks Completed
27 Apr 2021Assigned to Editor
28 Apr 2021Reviewer(s) Assigned
25 May 2021Review(s) Completed, Editorial Evaluation Pending
25 May 2021Editorial Decision: Revise Major
04 Jun 20211st Revision Received
05 Jun 2021Submission Checks Completed
05 Jun 2021Assigned to Editor
07 Jun 2021Reviewer(s) Assigned
08 Jun 2021Review(s) Completed, Editorial Evaluation Pending
08 Jun 2021Editorial Decision: Accept