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CorSalud (Revista de Enfermedades Cardiovasculares)

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2020, Number 2

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CorSalud 2020; 12 (2)

Apropos of the first malleable lung retractor to facilitate extrapleural harvesting of the internal thoracic artery

Rodríguez LA, Chávez-González E, Reyes HLM, Capote SR, Harrichand S
Full text How to cite this article

Language: Spanish
References: 18
Page: 237-343
PDF size: 323.79 Kb.


Key words:

revascularización miocárdica, arteria torácica internacavidad pleural, instrumento quirúrgico, separador de pulmón.

Text Extraction

To the Editor:

We have carefully read the article “First retractable lung spreader to facilitate extrapleural dissection of the internal thoracic artery” by López de la Cruz et al 1, recently published in this CorSalud journal, and due to its relevance we consider necessary to make some comments about it.
First, we would like to highlight the interesting historical review made by the author regarding the technique used in the internal thoracic artery dissection, including quoting the original article by James M. Cunningham in 1992, which is the reference with the greatest impact until nowadays, due to the fact that it masterfully describes the skeletonized technique to be used in the graft harvesting, after being employed in his series of 1029 patients. This was a great achievement in the coronary artery surgery evolution, since the pedicled technique was used in the initial works developed by the father of the myocardial revascularization, René G. Favaloro, at the Cleveland Clinic, Ohio.


REFERENCES

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  2. Cunningham JM, Gharavi MA, Fardin R, Meek RA. Considerations in the skeletonization technique of internal thoracic artery dissection. Ann Thorac Surg. 1992;54(5):947-50.

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  11. Villaescusa JM, Guzón A, Sánchez G, Rodríguez E, Ruiz Matea F, Melero JM. Revascularización miocárdica mínimamente invasiva con disección endoscópica de la arteria mamaria. Abordaje técnico. Cir Cardiov.2018;25(6):280-2.

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CorSalud. 2020;12