title: Side-to-side anastomosis using 4 interrupted sutures in small coronary arteries.
abstract: Side-to-side anastomosis in sequential bypass grafting of coronary arteries 1.0 mm in diameter or smaller, requires delicate surgical techniques with a high degree of technical difficulty. However, using only 4 interrupted sutures, we have performed side-to-side anastomosis in sequential grafting without difficulty in a short operative duration. We applied this technique in 58 distal anastomosis procedures, achieving an early angiographic graft patency rate of 100%.
authors.affiliation: Department of Cardiovascular Surgery, Jichi Medical University, Tochigi, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Kawahito
authors.forename: Arata
authors.initials: A
authors.lastname: Muraoka
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Misawa
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D013536:Suture Techniques / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency
keywords: Anastomosis; coronary artery bypass; surgical; suture techniques; vascular patency