The simple reverse mounting of an Octopus arm over a rib retractor can give more arm length by up to 5 cm inside the chest cavity which could prove to be very useful in patients with huge chest cavities, i.e. chronic obstructive pulmonary disease, high body mass index, allowing more flexibility and better maneuverability of the stabilizer arm during MIDCAB.
From the Cardiothoracic Department, Lancashire Cardiac Centre, Blackpool Victoria Hospital, NHS Foundation Trust, Blackpool, UK.
Accepted for publication February 22, 2009.
Address correspondence and reprint requests to Mr. Faisal Mourad, Cardiothoracic Department, Lancashire Cardiac Centre, Blackpool Victoria Hospital, Whinney Heys Rd., Blackpool FY3 8NR, UK. E-mail: firstname.lastname@example.org and email@example.com.