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KMID : 0364020160490060485
Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 6 p.485 ~ p.488
Simple Anastomotic Techniques for Coronary Artery Bypass Surgery in Patients with Small Coronary Arteries or a Marked Size Discrepancy Between the Coronary Artery and Graft
Lee Mi-Kyung

Song Joon-Young
Kim Tae-Youn
Kim Jong-Hun
Choi Jong-Bum
Kuh Ja-Hong
Abstract
Different suture techniques have been used for anastomosis in coronary artery bypass graft surgery. Bypass surgery may be difficult for patients who have small coronary arteries or marked size discrepancies between target coronary arteries and grafts. For proximal and distal anastomoses, three continuous stitches are first placed in the heel and toe of the small coronary arteries; for sequential anastomosis, an interrupted eight-stitch technique is used. We applied these anastomotic suture techniques in patients requiring coronary artery bypass graft surgery, achieving an early angiographic patency rate of 100%.
KEYWORD
Coronary artery bypass, Suture techniques, Anastomosis
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