title: Bi-directional single anastomotic technique for the proximal anastomosis of free grafts (the saphenous vein or radial artery) to the ascending aorta in coronary artery bypass grafting surgery.
abstract: In an operation involving coronary bypass grafting, anastomoses to the ascending aorta with saphenous vein or radial artery grafts may increase the possibility of post-operative strokes by the dislodgement of embolic particles into the arterial vasculature. We report a bi-directional single anastomotic technique to decrease the possibility of intra and postoperative strokes and to allow earlier cardiac perfusion by the graft anastomosed to the ascending aorta, in case of CABG with 2 free grafts from there.
authors.affiliation: Cardiac Disease Centre, Yamato Seiwa Hospital, Yamato, Kanagawa 242-0006, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Nabuchi
authors.forename: A
authors.initials: A
authors.lastname: Kurata
authors.forename: K
authors.initials: K
authors.lastname: Tsukuda
authors.forename: Y
authors.initials: Y
authors.lastname: Miyoshi
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001011:Aorta / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods*; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D017534:Radial Artery / Q000637:transplantation*; D012501:Saphenous Vein / Q000637:transplantation*; D020521:Stroke / Q000209:etiology* / Q000517:prevention & control*; D013536:Suture Techniques; D016896:Treatment Outcome