title: Sutureless Technique to Fix the Great Saphenous Vein along the Atrioventricular Groove Using Fibrin Glue in Off-Pump Coronary Artery Bypass Grafting.
abstract: We describe a simple method to fix the great saphenous vein graft (SVG) to the right coronary artery along the atrioventricular groove using fibrin glue in off-pump coronary artery bypass grafting (OPCAB). After completion of the proximal anastomosis, the SVG was placed along the atrioventricular groove to the acute margin. Fibrin glue was sprayed using pressurized carbon dioxide gas. A distal anastomosis was subsequently performed after rotating the heart to expose the posterior descending artery. It is a straightforward and reproducible technique to determine the optimal length of the SVG and prevent kinking or stretching of the graft, especially in OPCAB.
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto. suguru19820411@yahoo.co.jp.
authors.forename: Suguru
authors.initials: S
authors.lastname: Ohira
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto. suguru19820411@yahoo.co.jp.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Doi
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto. suguru19820411@yahoo.co.jp.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yaku
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D003324:Coronary Artery Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D015718:Fibrin Tissue Adhesive / Q000494:pharmacology*; D006801:Humans; D012501:Saphenous Vein / Q000637:transplantation*; D013536:Suture Techniques; D014014:Tissue Adhesives / Q000494:pharmacology
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives