Coronary-coronary bypass with composite radial artery graft.
Coronary-coronary bypass by using composite radial artery graft is performed between the proximal right coronary artery (RCA) and distal RCA branches. The radial artery (RA) is harvested, then the distal portion of RA is transected. A 10-mm long arteriotomy is performed on the main RA graft. The transected distal portion of RA is anastomosed on the main RA graft with 8-0 polyprolene suture material. Longitudinal arteriotomy is done on the proximal part of RCA followed by proximal anastomosis of the composite graft. Patency of the proximal part of the RCA is controlled by antegrade cardioplegia infusion. The distal limb of the composite graft is anastomosed on to the posteriolateral branch and then the second limb is anastomosed on to posterior the descending branch of the RCA.
Kuralay
Erkan
E
Cardiovascular Surgery Department, Gülhane Military Medical Academy, Etlik, Ankara, Turkey. ekural@gata.edu.tr
D000714:Anastomosis, Surgical; D001011:Aorta / Q000637:transplantation; D001026:Coronary Artery Bypass / Q000379:methods*; D003326:Coronary Circulation / Q000502:physiology; D003327:Coronary Disease / Q000503:physiopathology / Q000601:surgery; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D017534:Radial Artery / Q000637:transplantation*