Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 May 7:66:102382.
doi: 10.1016/j.amsu.2021.102382. eCollection 2021 Jun.

Effect of bilateral internal thoracic artery harvesting on deep sternal wound infection in diabetic patients: Review of literature

Affiliations
Review

Effect of bilateral internal thoracic artery harvesting on deep sternal wound infection in diabetic patients: Review of literature

Matiullah Masroor et al. Ann Med Surg (Lond). .

Abstract

Instead of its documented superiority of patency and long-term outcomes, the bilateral internal thoracic artery grafts are underused in the general population, and its use is controversial and debatable in diabetic patients due to long surgery duration, post-surgical bleeding, and sternal wound complications such as sternal wound infection, mediastinitis, and sternal wound dehiscence. This review article is particularly focused on deep sternal wound infection (DSWI) of bilateral internal thoracic artery (BITA) grafts in diabetic patients with comparison to single internal thoracic artery (SITA) graft.

Keywords: Bilateral internal thoracic artery (BITA); Coronary artery bypass grafting (CABG); Deep sternal wound infection (DSWI); Diabetes mellitus (DM); Single internal thoracic artery (SITA).

PubMed Disclaimer

Conflict of interest statement

All authors have no conflicts of interest to declare.

Similar articles

Cited by

References

    1. Gosain P., Yamani N., Santana O., Mihos C.G., Lamelas J. Hybrid coronary revascularization: a systematic review. Cardiol. Rev. 2015;23(2):87–93. - PubMed
    1. Martinez-Gonzalez B., Reyes-Hernandez C.G., Quiroga-Garza A., Rodriguez-Rodriguez V.E., Esparza-Hernandez C.N., Elizondo-Omana R.E., Guzman-Lopez S. Conduits used in coronary artery bypass grafting: a review of morphological studies. Ann. Thorac. Cardiovasc. Surg. 2017;23(2):55–65. - PMC - PubMed
    1. Lytle B.W., Blackstone E.H., Loop F.D., Houghtaling P.L., Arnold J.H., Akhrass R., McCarthy P.M., Cosgrove D.M. Two internal thoracic artery grafts are better than one. J. Thorac. Cardiovasc. Surg. 1999;117(5):855–872. - PubMed
    1. Pevni D., Medalion B., Mohr R., Ben-Gal Y., Laub A., Nevo A., Kramer A., Paz Y., Nesher N. Should bilateral internal thoracic artery grafting Be used in patients with diabetes mellitus? Ann. Thorac. Surg. 2017;103(2):551–558. - PubMed
    1. Jeong D.S., Sung K., Lee Y.T., Ahn J.H., Carriere K.C., Kim W.S., Park P.W. Pure bilateral internal thoracic artery grafting in diabetic patients with triple-vessel disease. Ann. Thorac. Surg. 2015;100(6):2190–2197. - PubMed