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Right arrow Coronary disease

Ann Thorac Surg 2002;74:939-940
© 2002 The Society of Thoracic Surgeons

How to do it

Coronary artery bypass via diaphragmatic approach with free graft

Norihiro Kondo, PhDa, Kenji Takahashi, MD*a, Masahito Minakawa, MDa, Shigeru Oikawa, MDa, Masaharu Hatakeyama, PhDa

a Department of Cardiovascular Surgery, Aomori Rousai Hospital, Hachinohe, Japan

Accepted for publication February 18, 2002.

* Address reprint requests to Dr Takahashi, Department of Cardiovascular Surgery, Aomori Rousai Hospital, 1 Minamigaoka, Shirogane, Hachinohe, Aomori, 031-0822 Japan
e-mail: takaken{at}aomorih.rofuku.go.jp

To avoid injury to patent bypass grafts or myocardium during median sternotomy in coronary artery bypass graft reoperation, we performed modified minimally invasive direct coronary artery bypass to the right coronary artery via diaphragmatic approach using the right gastroepiproic artery. In cases in which the right gastroepiproic artery cannot be used, this technique is performed with a free graft from the gastroduodenal artery. This approach is very useful for reoperation in these circumstances.




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Coronary artery bypass grafting using an abdominal artery as an inflow.
Ann. Thorac. Surg., July 1, 2006; 82(1): 69 - 73.
[Abstract] [Full Text] [PDF]


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