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Heart Lung Circ. 2010 Sep;19(9):555-60. doi: 10.1016/j.hlc.2010.04.078. Epub 2010 May 6.

Anaortic, total-arterial, off-pump coronary artery bypass surgery: how to do it.

Author information

1
Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia. michael.vallely@bigpond.com

Abstract

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.

PMID:
20447865
DOI:
10.1016/j.hlc.2010.04.078
[Indexed for MEDLINE]

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