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Ann Thorac Surg 2001;72:S2253-S2258
© 2001 The Society of Thoracic Surgeons

Supplement: Monitoring and improving patient safety during and following cardiac surgery

The coronary artery bypass conduit: II. Assessment of the quality of the distal anastomosis

J. Alan Wolfe, MD*a

a Peachtree Cardiovascular & Thoracic Surgeons, Atlanta, Georgia, USA

* Address reprint requests to Dr Wolfe, Peachtree Cardiovascular & Thoracic Surgeons, 5669 Peachtree Dunwoody Road, Suite 3890, Atlanta, GA 30342, USA
e-mail: heartjock{at}yahoo.com

Presented at Monitoring and Improving Patient Safety During and Following Cardiac Surgery, San Diego, CA, May 5, 2001.

Abstract

The outcome of coronary artery bypass grafting procedures is highly dependent on the technical adequacy of the distal anastomosis. Various methodologies, including flow measurement and imaging techniques, have been used by the cardiothoracic surgeon to assess the adequacy of the distal anastomosis. The limitations of these techniques outweigh their advantages and limit their widespread clinical applicability. Recent improvements in the technique for online measurement of regional myocardial pH provide a promising new metabolic approach to assessing the adequacy of the distal anastomosis in cardiac surgery.




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