[Snare injury in coronary artery bypass grafting on the beating heart: report of 2 cases].
From June to November 1997, 8 patients underwent coronary artery bypass grafting on the beating heart. The first 2 patients had snare injury. Postoperative angiography showed coronary stenosis distal to the LITA-LAD anastomosis in the first case and a pseudo-aneurysm at the septal branch of the LAD in the second case, most likely due to snaring maneuver with 3-0 prolene or 3-0 GORE-TEX suture with a sharp needle. Since then, we have been satisfactorily utilizing the RETRACT-O-TAPE (a silicone tape with blunt needle, QUEST Medical, Inc.) for coronary occlusion to avoid injury to the native vessels and their branches.
Endoh
M
M
Department of Cardiothoracic Surgery, University of Tokyo, Japan.
Ohtsuka
T
T
Hirata
K
K
Kohno
T
T
Kotsuka
Y
Y
Takamoto
S
S
D000787:Angina Pectoris / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003331:Coronary Vessels / Q000293:injuries*; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D013536:Suture Techniques