Anaortic, total-arterial, off-pump coronary artery bypass surgery: how to do it.
Several large series have demonstrated that performing off-pump coronary artery bypass surgery without manipulating the ascending aorta (anaortic) utilising all-arterial grafts provides superior protection against neurological injury. Recent series comparing percutaneous coronary intervention (PCI) with surgical revascularisation have demonstrated superior results for surgery over PCI. However, a significant criticism of coronary artery surgery remains the higher incidence of neurological injury when compared to PCI. We present a simple and reproducible technique for anaortic, total-arterial off-pump coronary artery revascularisation.
Vallely
Michael P
MP
Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia. michael.vallely@bigpond.com
Yan
Tristan D
TD
Edelman
J James B
JJ
Hayman
Mark
M
Brereton
R John L
RJ
Ross
Donald E
DE
D000714:Anastomosis, Surgical / Q000379:methods; D000758:Anesthesia / Q000379:methods; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D006801:Humans; D008323:Mammary Arteries / Q000637:transplantation*; D059035:Perioperative Period; D011183:Postoperative Complications / Q000517:prevention & control*; D017534:Radial Artery / Q000637:transplantation*; D020521:Stroke / Q000517:prevention & control*