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The Atrium: Internal Mammary Artery Harvesting

Tuesday, February 25, 2025

In this month’s episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. David Taggart about internal mammary artery harvesting. They discuss indications, patient preparation, internal thoracic artery anatomy, and key steps—sternotomy, free parietal pleura, incised endothoracic fascia, cutting of IMA, and more. They also discuss the pedicled technique, the skeletonized technique, and complications.  

The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month’s episode on VATS lobectomy.  


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Comments

Excellent video and contribution by Professor Taggart and Dr. Copperwheat. 2 additional points- Dr Robert Goetz, is credited with the first successful clinical CABG - a RIMA inserted into a divided RCA done off pump with a non suture technique in 1960.This was performed at the TB hospital of the Bronx Municipal Hospital Center . An extraordinary man and an extraordinary life story.. See: https://www.annalsthoracicsurgery.org/article/S0003-4975(00)01264-9/fulltext Also, when I harvest 2 IMA's I have typically put a loose suture ligature on the harvested LIMA at the distal chest wall and left it untied on a clamp. When the RIMA harvest is done and heparin is administered, it is very easy with minimal retraction to simply tie off the left IMA. -invariably it has grown much larger being in situ. All my best regards to Mr Taggart- I had him out to my hospital in Connecticut many years ago and he was a superb visiting professor- though I think the local cardiologists didn't quite buy in to his strong support of CABG superiority- and probably still don't! '

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