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

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

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

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
Pages (from-to)1428-1430
Number of pages3
JournalAnnals of Thoracic Surgery
Volume68
Issue number4
DOIs
StatePublished - Oct 1 1999
Externally publishedYes

Fingerprint

Off-Pump Coronary Artery Bypass
Coronary Artery Bypass
Sutures
Coronary Vessels
Pericardium
Cardiopulmonary Bypass
Brazil

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

'Single suture' for circumflex exposure in off-pump coronary artery bypass grafting. / Bergsland, Jacob; Karamanoukian, Hratch L.; Soltoski, Paulo R.; Salerno, Tomas.

In: Annals of Thoracic Surgery, Vol. 68, No. 4, 01.10.1999, p. 1428-1430.

Research output: Contribution to journalArticle

Bergsland, Jacob ; Karamanoukian, Hratch L. ; Soltoski, Paulo R. ; Salerno, Tomas. / 'Single suture' for circumflex exposure in off-pump coronary artery bypass grafting. In: Annals of Thoracic Surgery. 1999 ; Vol. 68, No. 4. pp. 1428-1430.
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