CHAPTER 99 Cardiac surgery relates to surgery of the heart. Some heart surgeries include a coronary artery bypass graft, or CABG; replacement of the heart valves, or valvular annuloplasty; or repair of the wall between the chambers of the heart, also known as a septal repair. Possible instruments needed for the CABG procedure include sternal saws and open heart extras. A brief description of the procedure follows: 1. A Hall sternal saw with blade is used to open the chest. 2. A Himmelstein retractor is used to elevate the chest wall to expose the mammary artery if the patient needs a coronary artery bypass graft. 3. A Cooley clamp is used when retrieving vessels for the grafts. 4. An octopus retractor with stabilizing blades is used to immobilize the area of the heart that is being sutured.
Cardiac Surgery
inch; 4 tonsil hemostatic forceps, blunt tip; 2 mayo-Péan hemostatic forceps, long; 2 Ayers needle holders, 8 inch; 1 DeBakey needle holder, 8 inch; 1 Crile-Wood needle holder, 8 inch; 2 Vorse-Webster tube-occluding clamps. Top, left to right: 2 Backhaus towel forceps, small; 8 paper drape clips; 3 Edna towel clamps, nonperforating tips; 3 Backhaus towel forceps; 4 Providence Hospital hemostatic forceps, delicate tip; 3 Crile hemostatic forceps, 
inch; 1 Adson hemostatic forceps, curved; 2 Ochsner hemostatic forceps, straight, short jaw; 10 Ochsner hemostatic forceps, straight, medium jaw; 1 Mixter hemostatic forceps, long; 1 Foerster sponge forceps; 2 Jarit (Vorse) tube-occluding forceps; 1 Jarit sternal needle holder and wire twister (short jaw), 7 inch; 1 Crile-Wood needle holder, 8 inch; 2 Crile-Wood needle holders, 7 inch.
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