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Eur J Cardiothorac Surg 2002;22:443-444
© 2002 Elsevier Science NL

How-to-do-it

A simple distal coronary perfusion technique in off-pump coronary artery bypass

Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan

Received 4 April 2002; received in revised form 21 May 2002; accepted 4 June 2002.

* Corresponding author. Tel.: +81-3-5800-8654; fax: +81-3-5684-3989
e-mail: toshimd{at}attglobal.net

This communication describes the surgical technique and clinical outcomes of a simple coronary perfusion technique for use during off-pump coronary artery bypass grafting. An intra-coronary shunt tube connected to the graft conduit (saphenous vein or radial artery) with an arterial blood source (ascending aorta or right internal thoracic artery) was inserted distally via a coronary arteriotomy for temporary perfusion of six left anterior descending arteries and two right coronary arteries.

Key Words: Off-pump coronary artery bypass • Myocardial ischemia • Intra-coronary shunt tube