[Safe and accurate coronary artery bypass grafting: combined use with single aortic clamp and retrograde coronary perfusion].
Neurological injury following myocardial revascularization may result from embolization of atheromatous debris from clamping the diseased aorta. The hazards of manipulating and clamping the aorta has been reported in some literatures. The proximal anastomoses with partial occluding clamp is conventional technique, but it may cause neurological injury, aortic tear or traumatic laceration. We developed a technique for coronary bypass grafting with single aortic cross clamp and combined antegrade/retrograde infusion of cardioplegia. Our method allows accurate performance of the proximal anastomosis without partial clamping and adequate protection of myocardium.
Sawazaki
M
M
Department of Thoracic Surgery, Nagoya University School of Medicine, Japan.
Yasuura
K
K
Ogawa
Y
Y
Okamoto
H
H
Matsuura
A
A
Akita
T
T
Maseki
T
T
Hirate
Y
Y
Ichihara
T
T
Abe
T
T
D001011:Aorta; D002314:Cardioplegic Solutions; D002561:Cerebrovascular Disorders / Q000517:prevention & control; D001026:Coronary Artery Bypass / Q000379:methods* / Q000592:standards; D005069:Evaluation Studies as Topic; D006801:Humans; D008026:Ligation; D010477:Perfusion
D002314:Cardioplegic Solutions