Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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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

  • Lee, Mi Kyung (Department of Thoracic and Cardiovascular Surgery, Wonkwang University School of Medicine) ;
  • Song, Joon Young (Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School) ;
  • Kim, Tae Youn (Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School) ;
  • Kim, Jong Hun (Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School) ;
  • Choi, Jong Bum (Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School) ;
  • Kuh, Ja Hong (Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School)
  • Received : 2016.09.26
  • Accepted : 2016.10.26
  • Published : 2016.12.05
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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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References

  1. Greason KL, Sundt III TM. Myocardial revascularization with cardiopulmonary bypass. In: Cohn LH, editor. Cardiac surgery in the adult. 4th ed. New York (NY): McGraw-Hill; 2012. p. 479-503.
  2. Kouchoukos NT, Blackstone EH, Hanley FL, Kirklin JK. Kirklin/Barrat-Boyes cardiac surgery: stenotic arteriosclerotic coronary artery disease. 4th ed. Philadelphia (PA): Elsevier Saunders; 2013. p. 353-428.
  3. Lytle BW. Anastomotic techniques. Oper Tech Thorac Cardiovasc Surg 2000;5:222-30. https://doi.org/10.1053/2000.otct.18708
  4. Kawahito K, Muraoka A, Misawa Y. Side-to-side anastomosis using 4 interrupted sutures in small coronary arteries. Asian Cardiovasc Thorac Ann 2014;22:115-7. https://doi.org/10.1177/0218492313485373