Annals of Thoracic Medicine
REVIEW ARTICLE
Year
: 2014  |  Volume : 9  |  Issue : 3  |  Page : 138--143

Save or sacrifice the internal mammary pedicle during anterior mediastinotomy?


Efstratios Apostolakis1, Nikolaos A. Papakonstantinou2, Serafeim Chlapoutakis1, Christos Prokakis1 
1 Department of Cardiothoracic Surgery, School of Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece
2 Department of General Surgery, General Oncology Hospital of Kifi ssia "Agioi Anargyroi", 41 Kaliftaki Street, P.C. 14564, Kifissia, Athens, Greece

Correspondence Address:
Nikolaos A. Papakonstantinou
12 Zilon Street, Rizoupoli, 11142 Athens
Greece

Ligation and dissection of internal mammary vessels is the most under-estimated complication of anterior mediastinotomy. However, patients requiring anterior mediastinotomy may experience long survival that makes the development of ischemic heart disease throughout their life possible. Therefore, the un-judicial sacrifice of the internal mammary pedicle may deprive them from the benefit to have their internal mammary artery used as a graft in order to successfully bypass severe left anterior descending artery stenoses. We recommend the preservation of the internal mammary pedicle during anterior mediastinotomy, which should be a common message among our colleagues from the beginning of their training.


How to cite this article:
Apostolakis E, Papakonstantinou NA, Chlapoutakis S, Prokakis C. Save or sacrifice the internal mammary pedicle during anterior mediastinotomy?.Ann Thorac Med 2014;9:138-143


How to cite this URL:
Apostolakis E, Papakonstantinou NA, Chlapoutakis S, Prokakis C. Save or sacrifice the internal mammary pedicle during anterior mediastinotomy?. Ann Thorac Med [serial online] 2014 [cited 2022 Sep 26 ];9:138-143
Available from: https://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2014;volume=9;issue=3;spage=138;epage=143;aulast=Apostolakis;type=0