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Hajime Maeta
Akira Sakai
Tatsuo Tsutsui
Motokazu Hori
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Ann Thorac Surg 1985;40:199-200
© 1985 The Society of Thoracic Surgeons

Articles

Ultrasonic Aspiration in Coronary Artery Surgery

Toshio Mitsui, M.D., Masataka Onizuka, M.D., Hiroshi Ijima, M.D., Hajime Maeta, M.D., Kenji Okamura, M.D., Akira Sakai, M.D., Tatsuo Tsutsui, M.D., Kiyohumi Mitsui, M.D.*, Motokazu Hori, M.D.

From the Department of Surgery, Institute of Clinical Medicine, University of Tsukuba and the University Hospital, Tsukuba Ideopolis, Japan

Accepted for publication December 24, 1984.

* Address reprint requests to Dr. Mitsui, Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba Ideopolis, Ibarakiken 305, Japan

With the aid of an ultrasonically powered aspiration device, the coronary artery to undergo distal anastomosis during aortocoronary bypass grafting can be exposed in the beating heart prior to institution of cardiopulmonary bypass and systemic administration of heparin. The thick adipose tissue and bridging muscles of the superficial layer are removed with almost no bleeding, leaving the vascular elements intact. The optimal site for anastomosis of the coronary artery is readily exposed and confirmed, and aortic cross-clamp time is minimized.




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