Article ID Journal Published Year Pages File Type
3004759 Operative Techniques in Thoracic and Cardiovascular Surgery 2014 18 Pages PDF
Abstract

Redo surgery after prior coronary artery bypass grafting (CABG) is becoming more common. Often, a degenerative, stenotic aortic valve is the primary indication for such an operation. Additionally, a failing mechanical or bioprosthetic valve also necessitates re-operation. These operations present some unique challenges, including safe sternal re-entry, preservation of patent grafts, identification and control of internal mammary artery grafts, and careful planning of the aortotomy. In this report, we describe our technique for conducting this operation safely.

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