Multislice Computed Tomography for Preoperative and Postoperative Assessment in Totally Endoscopic Coronary Artery Bypass Grafting


  • Gudrun Feuchtner
  • Thomas Schachner
  • Daniel Junker
  • Nikolaos Bonaros
  • Armin Öhlinger
  • Guy Friedrich
  • Joseph Cooper
  • Guenther Laufer
  • Johannes Bonatti



This article reviews the clinical value of noninvasive multi-slice computed tomography (MSCT) angiography before and after totally endoscopic coronary artery bypass surgery. The use of coronary and aorto-iliaco-femoral MSCT angiography in the preoperative assessment is addressed and the use of bypass MSCT angiography for postoperative control of bypass graft patency is discussed.


Argenziano M, Katz M, Bonatti, J et al. 2006. Results of the prospective multicenter trial of robotically assisted totally endoscopic coronary artery bypass grafting. Ann Thorac Surg 81:1666-74.nBonatti J, Schachner T, Bonaros N, et al. 2006. Technical challenges in totally endoscopic robotic coronary bypass grafting. J Thorac Cardiovasc Surg 131:146-53.nCatalano C, Fraioli F, Laghi A, et al. 2004. Infrarenal aortic and lower-extremity arterial disease: diagnostic performance of multi-detector row CT angiography. Radiology 231:555-63.nChiurlia E, Menozzi M, Ratti C, Romagnoli R, Modena MG. 2005. Follow-up of coronary artery bypass graft patency by multislice computed tomography. Am J Cardiol 95:1094-7.nFeuchtner GM, Schachner T, Bonaros N, et al. 2006. Value of 16-multidetector CT angiography before total endoscopic coronary artery bypass surgery. Eur Radiol 16(suppl 1):B-170.nFeuchtner GM, Schachner T, Bonaros N, et al. 2006. Evaluation of ascending aortic atherosclerosis with 16-multidetector computed tomography is useful before total endoscopic coronary bypass surgery. Heart Surg Forum 9:E754-8.nFeuchtner GM, Dichtl W, Friedrich GJ, et al. 2006. Multislice computed tomography for detection of patients with aortic stenosis and quantification of severity. J Am Coll Cardiol 47:1410-7.nFeuchtner GM, Dichtl W, Schachner T, et al. 2006. Diagnostic performance of multidetector CT in detecting aortic valve regurgitation. Am J Roentgenol 186:1676-81.nFleischmann D, Rubin G, Bankier AA, Hittmair K. 2004. Improved uniformity of aortic enhancement with customized contrast medium injection protocols at CT angiography. Radiology 214:363-71.nFlohr T, Stierstorfer K, Raupach R, et al. 2004. Performance evaluation of a 64-slice CT system with z-flying focal spot. Rofo Fortschr Geb Roentgenstr 176:1803-10.nHerzog C, Dogan S, Diebold T, et al. 2003. Multi-detector row CT versus coronary angiography: preoperative evaluation before totally endoscopic coronary artery bypass grafting. Radiology 229:200-8.nHoffmann M, Shi H, Schmitz B, et al. 2005. Non-invasive coronary angiography with multislice computed tomography. JAMA 293:2471-8.nKuettner A, Kopp A, Schroeder S, et al. 2004. Diagnostic accuracy of multidetector computed angiography in patients with angiographically proven coronary artery disease. J Am Coll Cardiol 43:831-9.nLeber AW, Knez A, Becker A, et al. 2004. Accuracy of multidetector spiral computed tomography in identifying and differentiating the composition of coronary atherosclerotic plaques: a comparative study with intracoronary ultrasound. J Am Coll Cardiol 43:1241-7.nMalagutti P, Nieman K, Meijboom WB, et al. 2006. Use of 64-slice CT in symptomatic patients after coronary bypass surgery: evaluation of grafts and coronary arteries. Eur Heart J Jul 17[Epub ahead of print].nMartuscelli E, Romagnoli A, D'Eliseo A, et al. 2004. Evaluation of venous and arterial conduit patency by 16-slice spiral computed tomography. Circulation 16:3234-8.nMollet NR, Cademartiri F, Nieman K, et al. 2005. Noninvasive assessment of coronary plaque burden using multislice computed tomography. Am J Cardiol 95:1165-9.nMollet N, Cademartiri F, Mieghem C, et al. 2005. High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation 112:2318-23.nMollet NR, Hoye A, Lemos PA, et al. 2005. Value of preprocedure multislice computed tomographic coronary angiography to predict the outcome of percutaneous recanalization of chronic total occlusions. Am J Cardiol 95:240-3.nPache G, Saueressig U, Frydrychowicz A, et al. 2006. Initial experience with 64-slice cardiac CT: non-invasive visualization of coronary artery bypass grafts. Eur Heart J 27:976-80.nRaff GL, Gallagher MJ, O'Neill WW, et al. 2005. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol 46:552-7.nSchachner T, Bonaros N, Laufer G, et al. 2004. The ESTECH remote access perfusion cannula in minimally invasive cardiac surgery. Heart Surg Forum 7:E632-5.nSchachner T, Feuchtner G, Bonaros N, et al. 2005. Does preoperative multislice computed tomography predict operative times in total endoscopic coronary artery bypass grafting? Heart Surg Forum 8:E314-8.nSchachner T, Feuchtner G, Bonatti J, et al. 2007. Evaluation of robotic coronary surgery with intraoperative graft angiography and multislice computed tomography. Ann Thorac Surg 2007 83(4):1361-7.nSchlosser T, Konorza T, Hunold P, et al. 2004. Noninvasive visualization of coronary artery bypass grafts using 16-detector row computed tomography. J Am Coll Cardiol 44:1224-9.nSingh RN. 1983. Atherosclerosis and the internal mammary arteries. Cardiovasc Intervent Radiol 6:72-7.n



How to Cite

Feuchtner, G., Schachner, T., Junker, D., Bonaros, N., Öhlinger, A., Friedrich, G., Cooper, J., Laufer, G., & Bonatti, J. (2007). Multislice Computed Tomography for Preoperative and Postoperative Assessment in Totally Endoscopic Coronary Artery Bypass Grafting. The Heart Surgery Forum, 10(3), E243-E247.