title: Coronary reoperation via small laparotomy using right gastroepiploic artery without CPB.
abstract: The elective use of the right gastroepiploic artery as an in situ graft has been well established in coronary surgery. We propose a surgical technique for patients undergoing coronary reoperations with a patent mammary graft to the left anterior descending artery. The gastroepiploic artery is used through a small laparotomy when only the right coronary artery or the posterior descending artery needs revascularization. The described technique allows avoidance of both resternotomy and cardiopulmonary bypass.
authors.affiliation: Thoraxcenter, University Hospital of Groningen, The Netherlands.
authors.forename: J G
authors.initials: JG
authors.lastname: Grandjean
authors.forename: M A
authors.initials: MA
authors.lastname: Mariani
authors.forename: T
authors.initials: T
authors.lastname: Ebels
mesh_terms: D000009:Abdominal Muscles / Q000098:blood supply*; D000328:Adult; D000368:Aged; D001158:Arteries / Q000637:transplantation; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass / Q000379:methods*; D003331:Coronary Vessels / Q000601:surgery; D017558:Elective Surgical Procedures; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000098:blood supply*; D012086:Reoperation; D013249:Sternum / Q000601:surgery; D013908:Thoracotomy; D014654:Vascular Patency