'Single suture' for circumflex exposure in off-pump coronary artery bypass grafting

Jacob Bergsland, Hratch L. Karamanoukian, Paulo R. Soltoski, Tomas A. Salerno

Research output: Contribution to journalArticlepeer-review

78 Scopus citations


Exposure of coronary vessels in the circumflex territory for surgery off cardiopulmonary bypass (CPB) is a challenge. Ricardo Lima from Brazil described a series of sutures that enable surgeons to expose the marginal circumflex vessels on the beating heart. We have modified this technique and only use a 'single suture' placed in the oblique sinus of the posterior pericardium. This allows for successful exposure of all coronary vessels with minimal manipulation of the heart. This simple technique enhances surgery on the beating heart and is especially useful to bypass topographically 'difficult' posterior and lateral coronary vessels.

Original languageEnglish (US)
Pages (from-to)1428-1430
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number4
StatePublished - Oct 1999
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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