title: Anaortic, total-arterial, off-pump coronary artery bypass surgery: how to do it.
abstract: 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.
authors.affiliation: Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia. michael.vallely@bigpond.com
authors.forename: Michael P
authors.initials: MP
authors.lastname: Vallely
authors.forename: Tristan D
authors.initials: TD
authors.lastname: Yan
authors.forename: J James B
authors.initials: JJ
authors.lastname: Edelman
authors.forename: Mark
authors.initials: M
authors.lastname: Hayman
authors.forename: R John L
authors.initials: RJ
authors.lastname: Brereton
authors.forename: Donald E
authors.initials: DE
authors.lastname: Ross
mesh_terms: 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*