Left innominate vein wrapping with Dacron sheath after thymectomy

Autor:	Mike Demosthenous, Ioannis Karathanasis, Ilias A Kouerinis, Grigorios Karagkiouzis
Rok vydání:	2019
Předmět:	Pulmonary and Respiratory Medicine Reoperation medicine.medical_specialty Sternum medicine.medical_treatment 030204 cardiovascular system & hematology 03 medical and health sciences Blood Vessel Prosthesis Implantation 0302 clinical medicine Postoperative Complications medicine Humans Innominate vein Brachiocephalic Trunk business.industry Polyethylene Terephthalates Thymectomy Sternotomy Left Innominate Vein Surgery Blood Vessel Prosthesis 030228 respiratory system Cardiology and Cardiovascular Medicine business
Zdroj:	Journal of cardiac surgeryREFERENCES. 34(12)
ISSN:	1540-8191
Popis:	Background Any type of radical thymectomy, open or thoracoscopic, always results in a skeletonized left innominate vein (LIV), which is highly expected to form adhesions to the posterior surface of the sternum. Therefore, in case of future sternotomy, the LIV remains highly exposed to trauma. Methods We describe a surgical technique that is expected to protect the innominate vein in case of future sternotomy. Results Our technique is not technically demanding, is easily reproducible, can be applied in both open and thoracoscopic procedures and does not significantly prolong the overall duration or cost of the procedure. Conclusions Our alternative is the only protective measure for the left innominate vein that can be applied in the first operation and in our opinion should be a standard part of the procedure.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e8e5b36af9ee9d535f3d26f86b2740c9 https://pubmed.ncbi.nlm.nih.gov/31710724 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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