Korean J Thorac Cardiovasc Surg.
2016 Dec;49(6):485-488. 10.5090/kjtcs.2016.49.6.485.
Simple Anastomotic Techniques for Coronary Artery Bypass Surgery in Patients with Small Coronary Arteries or a Marked Size Discrepancy Between the Coronary Artery and Graft
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Wonkwang University School of Medicine, Korea.
- 2Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School, Korea. kim77jh@gmail.com
- KMID: 2362172
- DOI: http://doi.org/10.5090/kjtcs.2016.49.6.485
Abstract
- Different suture techniques have been used for anastomosis in coronary artery bypass graft surgery. Bypass surgery may be difficult for patients who have small coronary arteries or marked size discrepancies between target coronary arteries and grafts. For proximal and distal anastomoses, three continuous stitches are first placed in the heel and toe of the small coronary arteries; for sequential anastomosis, an interrupted eight-stitch technique is used. We applied these anastomotic suture techniques in patients requiring coronary artery bypass graft surgery, achieving an early angiographic patency rate of 100%.
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