Resumo

LOPEZ-DE LA CRUZ, Yoandy et al. First retractable lung spreader to facilitate extrapleural dissection of the internal thoracic artery. CorSalud [online]. 2019, vol.11, n.3, pp. 211-218.  Epub 01-Set-2019. ISSN 2078-7170.

Internal thoracic artery dissection is one of the most defining procedures of coronary artery bypass grafting, as it has been demonstrated that the quality of life and short-long term outcome of patients will depend on the morphological characteristics of the graft. More than 25 years ago, the use of a malleable lung spreader was proposed to facilitate the internal thoracic artery dissection especially its proximal segment, but that device has never been manufactured. A lung spreader, assembled from disused devices, used in coronary artery revascularization is presented. The main advantages confirmed over more than three years in nearly a hundred patients are discussed and commented upon.

Palavras-chave : Myocardial revascularization; Internal thoracic artery; Pleural cavity; Pneumothorax; Chronic obstructive pulmonary disease.

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