A Novel Figure A-Shape Sternal Retractor for Off-Pump Coronary Artery Bypass Grafting

Authors

  • Tamotsu Yasuda
  • Go Watanabe
  • Shigeyuki Tomita

DOI:

https://doi.org/10.1532/HSF98.20051120

Abstract

A novel figure A-shape sternal retractor was developed to avoid brachial plexus injury caused by sternal wide separation, and facilitate exposure of circumflex artery by elevating a rake and dropping the heart into the right pleural cavity during off-pump coronary artery bypass grafting. In addition, it has several notches to hold deep pericardial stitches in order to enhance the exposure.

References

Desai ND, Pelletier MP, Mallidi HR, et al. 2004. Why is off-pump coronary surgery uncommon in Canada? Results of a population-based survey of Canadian heart surgeons. Circulation 110(11 Suppl 1):II7-12.nKamiya H, Watanabe G, Takemura H, Tomita S, Nagamine H, Kanamori T. 2004. Total arterial revascularization with composite skeletonized gastroepiploic artery graft in off-pump coronary artery bypass grafting. J Thorac Cardiovasc Surg 127:1151-7.nMathison M, Edgerton JR, Horswell JL, Akin JJ, Mack MJ. 2000. Analysis of hemodynamic changes during beating heart surgical procedures. Ann Thorac Surg 70:1355-60.nPuskas JD, Williams WH, Mahoney EM, et al. 2004. Off-pump vs conventional coronary artery bypass grafting: early and 1-year graft patency, cost, and quality-of-life outcomes: a randomized trial. JAMA 291:1841-9.nVahl CF, Carl I, Muller-Vahl H, Struck E. 1991. Brachial plexus injury after cardiac surgery. The role of internal mammary artery preparation: a prospective study on 1000 consecutive patients. J Thorac Cardiovasc Surg 102:724-9.n

Published

2005-06-03

How to Cite

Yasuda, T., Watanabe, G., & Tomita, S. (2005). A Novel Figure A-Shape Sternal Retractor for Off-Pump Coronary Artery Bypass Grafting. The Heart Surgery Forum, 8(4), E196-E197. https://doi.org/10.1532/HSF98.20051120

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