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Hratch L. Karamanoukian
Jacob Bergsland
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Ann Thorac Surg 2000;69:1606-1608
© 2000 The Society of Thoracic Surgeons

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The innominate artery as an inflow site in coronary reoperations without cardiopulmonary bypass

Marco Ricci, MD, PhDa, Hratch L. Karamanoukian, MDa, Mark R. Jajkowski, MDa, Giuseppe D’Ancona, MDa, Jacob Bergsland, MDa, Tomas A. Salerno, MDa

a Division of Cardiothoracic Surgery and Center for Minimally Invasive Cardiac Surgery, Kaleida Health System and State University of New York at Buffalo, Buffalo, New York, USA

Address reprint requests to Dr Karamanoukian, Division of Cardiothoracic Surgery, Buffalo General Hospital, 100 High St, Buffalo, NY 14203
e-mail: lisbon5{at}yahoo.com

The innominate artery was used as an inflow site in 20 patients undergoing redo coronary operations without cardiopulmonary bypass. This technique was adopted when extensive adhesions and old patent grafts were present, to avoid dissection of the ascending aorta and eliminate the risk of graft injury or embolization. This strategy considerably facilitated construction of proximal anastomoses and was associated with favorable perioperative outcomes.




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[Abstract] [Full Text] [PDF]


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