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Ann Thorac Surg 2003;76:298-300
© 2003 The Society of Thoracic Surgeons

How to do it

Minimally ischemic off-pump coronary artery bypass grafting: active perfusion-assist with nitroglycerin-supplemented blood

Satoshi Muraki, MDa*, Masaru Tsukamoto, MDa, Kanshi Komatsu, MDa, Jyunichi Sakata, MDa, Syunsuke Ohori, MDa, Takeo Hasegawa, CEa, Tomio Abe, MDa

a Second Department of Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan

Accepted for publication November 26, 2002.

* Address reprint requests to Dr Muraki, Second Department of Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan
e-mail: muraki{at}sapmed.ac.jp

During off-pump coronary artery bypass surgery, concern remains about possible myocardial injury associated with the transient occlusion and stabilization of the target vessels. To try to minimize myocardial ischemia and achieve hemodynamic stability, we used a coronary perfusion catheter combined with the perfusion-assisted direct coronary artery bypass system, which enables active and modified coronary perfusion of the target vessel throughout the duration of multiple grafting.




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