HOW I DO IT : Off-Pump Myocardial Revascularization. The Single-Suture Technique: How to Avoid Any Complication

Authors

  • Giuseppe D'Arrigo
  • Antonio Scolaro
  • Alberto Lomeo

DOI:

https://doi.org/10.1532/hsf.1065

Abstract

To achieve a good exposure of coronary arteries, the singlesuture
technique allows a good exposure of the circumflex
territory. This suture may injure the organs situated behind
the pericardium. We suggest placing a single suture of silk in
the oblique sinus to allow a good elevation of the posterior
pericardium before placing the single suture. This simple and
inexpensive method avoids any damage to the structures
behind the pericardium.

References

Benetti FJ. 1985. Direct coronary surgery with saphenous vein bypass without either cardiopulmonary bypass or cardiac arrest. J Cardiovasc Surg 26:217-22.nBergsland J, Karamanoukian HL, Soltoski PR, Salerno TA. 1999. "Single suture" for circumflex exposure in off-pump coronary artery bypass grafting. Ann Thorac Surg 68:1428-30.nBuffolo E, Silva de Andrade JC, Branco JN, et al. 1996. Coronary artery bypass grafting without cardiopulmonary bypass. Ann Thorac Surg 61:63-6.nFukui T, Suehiro S, Shibata T, Hattori K, Hirai H. 2002. Retropericardial ematoma complicating off-pump coronary artery bypass surgery. Ann Thorac Surg 73:1629-31.nKolesov V. 1967. Mammary artery-coronary anastomosis as a method of treatment of angina pectoris. J Thorac Cardiovasc Surg 54:535-44.nRicci M, Karamanoukian HL, D'Ancona G, Bergsland J, Salerno TA. 2000. Exposure and mechanical stabilization in off-pump coronary artery bypass grafting via sternotomy. Ann Thorac Surg 70:1736-40.nSalerno TA. Coronary bypass without cardiopulmonary bypass. 32 postgraduate course presented at: Society of Thoracic Surgeons; 1999; San Antonio, TX.n

Published

2005-02-02

How to Cite

D’Arrigo, G., Scolaro, A., & Lomeo, A. (2005). HOW I DO IT : Off-Pump Myocardial Revascularization. The Single-Suture Technique: How to Avoid Any Complication. The Heart Surgery Forum, 6(1), E10-E11. https://doi.org/10.1532/hsf.1065

Issue

Section

Articles