title: [Surgical technique of displacement and retraction of the heart with a pigtail shaped hook and Tentacles Heart Positioner].
abstract: We describe a novel heart retracting system with Tentacles Heart Positioner (Sumitomo Bakelite, Tokyo) during off-pump coronary artery bypass grafting (OPCAB). The heart retracting system is composed of a pigtail shaped hook attached to a flexible Universal Stabilizer Arm (Estech, Minneapolis). After Tentacles suction device is applied on the surface of the heart, the retracting system is fixed on the sternal retracter so that the hook can hang and support the retracting tubes of the sucker. By regulating the shape of the Universal Stabilizer Arm and the position of the hook, the retracting system can lift the heart sufficiently and maintain the optimal position of the heart during OPCAB procedure. Together with Tentacles Heart Positioner, the heart retracting system provides excellent exposure of target coronary arteries with minimal effect on hemodynamics.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Dokkyo Medical University, Tochigi, Japan.
authors.forename: Yoshiei
authors.initials: Y
authors.lastname: Shimamura
authors.forename: Y
authors.initials: Y
authors.lastname: Mochizuki
authors.forename: Y
authors.initials: Y
authors.lastname: Yamada
authors.forename: K
authors.initials: K
authors.lastname: Eda
authors.forename: I
authors.initials: I
authors.lastname: Shibasaki
authors.forename: Y
authors.initials: Y
authors.lastname: Inoue
authors.forename: S
authors.initials: S
authors.lastname: Miyoshi
mesh_terms: D047549:Coronary Artery Bypass, Off-Pump / Q000295:instrumentation* / Q000379:methods*; D006801:Humans