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Ann Thorac Surg 2002;74:273-275
© 2002 The Society of Thoracic Surgeons

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Ultrasonic evaluation of graft anastomoses during coronary artery bypass grafting without cardiopulmonary bypass

Yoshihiro Suematsu, MDa*, Toshiya Ohtsuka, MDa, Takeshi Miyairi, MDa, Noboru Motomura, MDa, Shinichi Takamoto, MDa

a Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Accepted for publication April 1, 2002.

* Address reprint requests to Dr Suematsu, Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo 113-8655, Japan
e-mail: suematsu{at}aurora.dti.ne.jp

Performance of the graft-to-coronary anastomosis in coronary artery bypass grafting without cardiopulmonary bypass is more difficult than conventional coronary artery bypass grafting. We report a new method that uses high-frequency epicardial echocardiography to detect technical errors and inadequacies in graft anastomoses. This method improves the operative outcome and enables detection of septal perforator branches and deeply embedded coronary arteries during coronary artery bypass grafting without cardiopulmonary bypass.




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