Abstract
Coronary artery bypass grafting is the most effective treatment for ischemic heart disease. Improvements of surgical technique, anesthesia, cardiological methods of preoperative preparation and postoperative management of patients have a common goal to maximally increase the efficiency of a surgery. One of the surgical efficiency criteria is a longterm patency of performed anastomoses, which is also determined by the type of conduits used during surgery. While some authors tend to use great saphenous vein as a second conduit in myocardial revascularization surgeries, others prefer radial artery. Nevertheless, the “gold” standard and the most effective conduit for coronary artery bypass grafting is internal thoracic artery. There are several classic techniques of harvesting an artery during surgery, each of them has their own advantages and disadvantages. Knowledge of surgical anatomy of internal thoracic, its branches and possible variations, as well as the surgical harvesting techniques and potential complications during this stage of a surgery is the necessary basis for cardiovascular surgeons.
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About the authors
- Leo A. Bockeria, Academican of Russian Academy of Sciences and Russian Academy of Medical Sciences, President of Center; ORCID
- Lasha D. Shengeliya, Cand. Med. Sci., Cardiovascular Surgeon, Researcher; ORCID
- Zamik F. Fatulaev, Cand. Med. Sci., Cardiovascular Surgeon, Researcher; ORCID
- Merab K. Sanakoev, Cand. Med. Sci., Cardiovascular Surgeon, Researcher; ORCID
