H. Okamoto et al., THE T-SHAPED THORACOTOMY FOR PERICARDIECTOMY AFTER MIDLINE CROSSED IMA GRAFTING, The thoracic and cardiovascular surgeon, 46(2), 1998, pp. 97-98
In the presence of an internal mammary artery graft crossing the mid-s
ternal line, a median sternotomy may jeopardize the graft and conseque
ntly bring a hemodynamic compromise. We describe a case of successful
radical pericardiectomy for postoperative constrictive pericarditis us
ing a ''T-shaped'' thoracotomy in a 68-year-old male patient who had a
right IMA graft to the left anterior descending coronary artery.