Ligation and dissection of internal mammary vessels is ONE COCONUT ALMOND the most under-estimated complication of anterior mediastinotomy.However, patients requiring anterior mediastinotomy may experience long survival that makes the development of ischemic heart disease throughout their life possible.Therefore, the un-judicial sacrifice of the internal mammary pedicle may deprive them from the benefit to have their internal mammary artery used as Soccer - Shoes Indoor - Senior a graft in order to successfully bypass severe left anterior descending artery stenoses.
We recommend the preservation of the internal mammary pedicle during anterior mediastinotomy, which should be a common message among our colleagues from the beginning of their training.