Arterial graft anastomosis in coronary artery surgery: some technical points
Ochi, M.; Tanaka, S.; Ikeshita, M.; Shoji, T.
Kyobu Geka. Japanese Journal of Thoracic Surgery 44(11): 912-914
1991
ISSN/ISBN: 0021-5252 PMID: 1942683 Document Number: 379650
To facilitate surgical technique, we describe some devices on arterial graft anastomosis in coronary artery surgery. Prior to anastomosis, the graft is positioned closely just parallel to the coronary artery by fixing surrounding endothoracic fascia or other connective tissues to the epicardium with 5-0 monofilament sutures. Stitching around the heel of the anastomosis is best performed by "a single stroke continuous suture" with the graft kept in position parallel to the coronary artery. This technique provides simple and secure anastomosis of an arterial graft.