Abstract
Use of the internal thoracic artery is the gold standard for coronary bypass surgery. Bilateral internal thoracic artery use is encouraged, especially in young patients. There are various techniques of harvesting. The LigaSure device has been used successfully as a low heat generating electrothermal vessel sealer in laparoscopic and open surgery for a long time. An internal thoracic artery harvesting technique is described, using a LigaSure Maryland Jaw 23-cm open sealer/divider through a thoracotomy and LigaSure Exact Dissector through a sternotomy. LigaSure devices can be used for pedicled or skeletonized internal thoracic artery harvesting with almost equal precision and safety.
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