Heart, Lung and Circulation
Volume 19, Issue 9 , Pages 555-560, September 2010

Anaortic, Total-arterial, Off-pump Coronary Artery Bypass Surgery: How To Do It

  • Michael P. Vallely, FRACS

      Affiliations

    • Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia
    • The Baird Institute, Sydney, Australia
    • Corresponding Author InformationCorresponding author at: Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, C/- Sydney Cardiothoracic Surgeons, 304/100 Carillon Avenue, Newtown NSW 2042, Australia. Tel.: +61 295501933; fax: +61 295506669.
    • ,
  • Tristan D. Yan, PhD

      Affiliations

    • Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia
    • The Baird Institute, Sydney, Australia
    • ,
  • J. James B. Edelman, MBBS

      Affiliations

    • Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia
    • The Baird Institute, Sydney, Australia
    • ,
  • Mark Hayman, FRANZCA

      Affiliations

    • Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia
    • ,
  • R. John L. Brereton, FRACS

      Affiliations

    • Department of Cardiothoracic Surgery, Royal North Shore Hospital, Sydney, Australia
    • ,
  • Donald E. Ross, FRACS

      Affiliations

    • Department of Cardiothoracic Surgery, Royal North Shore Hospital, Sydney, Australia

Received 3 January 2010; accepted 1 April 2010.

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.

Keywords: CABG, OPCAB, Arterial, Radial Artery

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PII: S1443-9506(10)00171-X

doi:10.1016/j.hlc.2010.04.078

Heart, Lung and Circulation
Volume 19, Issue 9 , Pages 555-560, September 2010

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