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International Society For Minimally Invasive Cardiothoracic Surgery

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Reoperation For Bleeding Of Left Internal Mammary Artery Through Thoracoscopy After Endoscopic Atraumatic Coronary Artery Bypass
Sotirios Marinakis, PhD, Serge Cappeliez, MD, Karim Homsy, MD, Yasmine De Bruyne, MD, Claire Viste, MD, Badih El Nakadi, MD.
CHU Charleroi, Lodelinsart, Belgium.

BACKGROUND: Thoracoscopic harvesting of Left Internal Mammary Artery (LIMA) is subjected to hemorrhagic complications.
METHODS: Bleeding in the thoracic cavity after endoscopic atraumatic coronary artery bypass (EACAB) can be managed either through the mini thoracic incision or through a thoracoscopic approach.
RESULTS: In this video demonstrates how to do a thoracoscopic management of LIMA bleeding after EACAB. Thoracoscopic vision is better than through mini-thoracotomy and it permits an enhanced evaluation of bleeding source.
CONCLUSIONS: The thoracoscopic approach to control a postoperative LIMA bleeding after EACAB is safe and it gives a better vision of the thoracic cavity.


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