FIELD: medicine.
SUBSTANCE: access through the left-sided anterior thoracotomy is opened by the thorax. Perform a cut of the pericardium from the apex of the heart along the long axis of the heart along the perspective projection of the anterior interventricular artery with its continuation towards the root of the aorta and the trunk of the pulmonary artery until the vessels are clearly visualized. The T-shaped incision starts from the tip to the right along the anterior edge of the diaphragm and continues until the right side of the heart and the right mediastinal pleura are visualized. The left incision is continued on the lateral surface of the apex of the heart. And the incision of the pericardium along the diaphragm, from the apex of the heart to the right side of the heart, is carried out from inside the pericardial cavity without dissecting all the fatty tissue lying between the breastbone and the pericardium.
EFFECT: method allows to increase the functionality of the operation by reducing the injury, to provide adequate exposure of all branches of the coronary arteries.
3 cl,1 ex
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Authors
Dates
2017-07-06—Published
2016-07-21—Filed