Ultrasonic evaluation of graft anastomoses during coronary artery bypass grafting without cardiopulmonary bypass.
Performance of the graft-to-coronary anastomosis in coronary artery bypass grafting without cardiopulmonary bypass is more difficult than conventional coronary artery bypass grafting. We report a new method that uses high-frequency epicardial echocardiography to detect technical errors and inadequacies in graft anastomoses. This method improves the operative outcome and enables detection of septal perforator branches and deeply embedded coronary arteries during coronary artery bypass grafting without cardiopulmonary bypass.
Suematsu
Yoshihiro
Y
Department of Cardiothoracic Surgery, University of Tokyo, Japan. suematsu@aurora.dti.ne.jp
Ohtsuka
Toshiya
T
Miyairi
Takeshi
T
Motomura
Noboru
N
Takamoto
Shinichi
S
D000714:Anastomosis, Surgical; D001026:Coronary Artery Bypass / Q000379:methods; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D015150:Echocardiography, Doppler; D006801:Humans; D016343:Monitoring, Intraoperative; D012501:Saphenous Vein / Q000637:transplantation