Techniques of exposure and stabilization in off-pump coronary artery bypass graft

Paulo Soltoski, Jacob Bergsland, Tomas A. Salerno, Hratch L. Karamanoukian, Giuseppe D'Ancona, Marco Ricci, Anthony L. Panos

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

Recent advances in techniques of coronary artery exposure and myocardial stabilization in off-pump myocardial revascularization have provided cardiac surgeons with a wide variety of new devices and techniques. Until recently, the main obstacle to performing complete myocardial revascularization without using cardiopulmonary bypass (CPB) has been the technical difficulties of exposing and stabilizing coronary targets, especially those located on the lateral and inferior wall of the heart. The extraordinary cardiac tolerance to nonconstrictive anterior elevation and lateral displacement, however, has allowed the development of new strategies of coronary exposure. These advances, in combination with the development of new techniques of mechanical myocardial stabilization, have impacted on the feasibility and safety with which coronary anastomoses on the beating heart can be constructed. The aim of this article is to describe the technical aspects involved in off-pump coronary revascularization, focusing primarily on the most recent strategies of cardiac elevation and coronary exposure, the various techniques of myocardial stabilization, and some of the technical details of constructing distal anastomoses on the beating heart.

Original languageEnglish (US)
Pages (from-to)392-400
Number of pages9
JournalJournal of cardiac surgery
Volume14
Issue number5
DOIs
StatePublished - Jan 1 1999

ASJC Scopus subject areas

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

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    Soltoski, P., Bergsland, J., Salerno, T. A., Karamanoukian, H. L., D'Ancona, G., Ricci, M., & Panos, A. L. (1999). Techniques of exposure and stabilization in off-pump coronary artery bypass graft. Journal of cardiac surgery, 14(5), 392-400. https://doi.org/10.1111/j.1540-8191.1999.tb01017.x