1 Department of Cardiovascular Surgery, Daini Hospital, Tokyo Women's Medical University, 2-1-10 Nishiogu, Arakawa-ku, Tokyo 116-8567, Japan. niinamca@dnh.twmu.ac.jp
In a redo off-pump coronary artery bypass operation through a repeat median sternotomy, use of the Starfish Heart Positioner in combination with the Harmonic Scalpel may facilitate dissection of adhesions without hemodynamic impairment.