Sewing Proximals on the Ascending Aorta during CABG Operations

Authors

  • Curt Tribble, MD Division of Cardiac Surgery, University of Virginia, Charlottesville, VA, USA
  • Nick Teman, MD Division of Cardiac Surgery, University of Virginia, Charlottesville, VA, USA

DOI:

https://doi.org/10.1532/hsf.4789

Keywords:

CABG Operations

Abstract

To have coronary bypass surgery deliver on the claim made by Dr. Lytle in his Gibbon Lecture at the 2020 meeting of the American College of Surgeons, surgeons doing these operations must pay attention to every detail of the procedures.  While a lot of attention is, appropriately, focused on sewing the distal anastomoses in coronary artery bypass operations [Tribble, 2018], there is often comparatively less attention placed on creating the proximal anastomoses for coronary artery bypass grafts. [Favaloro, 1970]. A lack of attention to these anastomoses can lead to significant problems for patients undergoing coronary artery bypass surgery. This article will address the common issues to be considered in creating proximal vein graft anastomoses in a standard coronary artery bypass operation. Let’s get started …..

References

Lytle B. The Gibbon Lecture, 2021: https://www.acsccnews.org/gibbon-lecturer-coronary-bypass-surgery-is-unrivaled-as-a-lifesaver/ (Accessed 2-8-22)

Tribble C, Derryberry S. 2018. String Music: Creating Coronary Artery and other Vascular Anastomoses. Heart Surgery Forum 21(6): E497 – E506.

Favaloro R. 1970. Surgical Treatment of Coronary Atherosclerosis. Williams & Wilkins Company. Baltimore.

Tribble C. 2018. Reoperative Cardiac Surgery - Part I: Preoperative Planning. Heart Surgery Forum 21(1): 247-53.

LaPar D, Ailawadi G, Irvine J, Lau C, Kron I, Kern J. 2011. Preoperative computed tomography is associated with lower risk of perioperative stroke in reoperative cardiac surgery. Interactive CardioVascular and Thoracic Surgery 12: 919-923.

Tribble C. 2018. Reoperative Cardiac Surgery - Part I: Preoperative Planning. Heart Surgery Forum 21(1): 247-53.

Reece B, Kern J, Peeler B, Kron I, Tribble C. 2007. Replacement of the proximal aorta adds no further risk to aortic valve procedures. Ann Thorac Surg 84: 473-8.

Derryberry S, Tribble C. 2018. In Through the Out Door: Tips and Tricks for Giving Retrograde Cardioplegia. The Heart Surgery Forum 21(4): E311-E317.

Mills N, Ochsner J. 1976. Valvulotomy of Valves in the saphenous vein graft before coronary artery bypass. Ann Thorac Surg 71: 878-9.

Pingpoh C, Siepe M, Burger K, Zietak T, Valina C, Ferenc M, Beyersdorf F, Neumann F, Hochholzer W. 2018. Impact of Proximal Radiopaque Coronary Bypass Graft Markers on Postbypass Surgery Coronary Angiography. J Thorac Cardiovasc Surg 155: 1565-72.

Ochsner J, Mills N. 1978. Coronary Artery Surgery. Lea & Febiger, Philadelphia.

Selke F. 2018. Do Radiopaque Markers Make a Difference after Coronary Artery Bypass Grafting? J Thorac Cardiovasc Surg 155: 1573.

Flege J. 1987. Ann Thorac Surg 44: 424.

Tribble C. 2018. Reoperative Cardiac Surgery – Part II. The Heart Surgery Forum 21(2): E124-131.

Ego A, Boyd D, Gongora E, Johnson W, Munfak N, Pirris J, Wolf R. 2022. Expert Opinions on the Debate of Pericardial Reconstruction in Cardiovascular Surgery: To Close or Not to Close? The Heart Surgery Forum 25(1): E8-E19.

Tribble C, Merrill W. 2016. In Your Own Words: Toward a More Perfect Union of Patient Care and Education. Ann Thorac Surg 101: 837-40.

Yount K, Yarboro L, Narahari A, Ghanta R, Tribble C, Kron I, Kern J, Ailawadi G. 2017. Outcomes of Trainees Performing Coronary Artery Bypass Grafting: Does Resident Experience Matter? Ann Thorac Surg 103: 975-81.

Published

2022-04-29

How to Cite

Tribble, C., & Teman, N. (2022). Sewing Proximals on the Ascending Aorta during CABG Operations. The Heart Surgery Forum, 25(2), E330-E339. https://doi.org/10.1532/hsf.4789

Issue

Section

Articles