FIELD: medicine.
SUBSTANCE: left-side thoracotomy is performed on the working heart and the left internal thoracic artery is selected, the right internal thoracic artery (RITA) is separated through I-III intercostal space on the right extrapleurally, an anastomosis is formed between the RITA and the graft for RITA elongation, a tunnel is formed behind the sternum connecting the wound to a thoracotomy wound in the I-III intercostal space, through which the RITA, elongated by the graft, is conducted into the left pleural cavity to the distal anastomosis zone.
EFFECT: method allows to eliminate complications associated with access through median sternotomy.
2 ex
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