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Ann Thorac Surg 2003;76:635-637
© 2003 The Society of Thoracic Surgeons
a Department of Cardiovascular Surgery Shin-Tokyo Hospital, Chiba, Japan
b Department of Cardiovascular Surgery Osaka City General Hospital, Osaka, Japan
Accepted for publication December 6, 2002.
* Address reprint requests to Dr Takanashi, Department of Cardiovascular Surgery, Shin-Tokyo Hospital, 473-1 Nemoto, Matsudo City, Chiba 271-0077, Japan
e-mail: takanashi-s{at}gem.hi-ho.ne.jp
Surgical treatment of a diffusely diseased coronary artery has been considered a relative contraindication for off-pump coronary artery bypass grafting. To our knowledge, long onlay-patch grafting with off-pump coronary artery bypass grafting has not been described. Two sets of Octopus 3 tissue stabilizers were placed longitudinally along the target coronary artery. This allowed us to perform surgical angioplasty and bypass grafting without cardiopulmonary bypass support (double Octopus technique). We report our early experience with off-pump long onlay bypass grafting in patients with a diffusely diseased coronary artery using double Octopus tissue stabilizers.Diffusely diseased coronary artery; off-pump coronary artery bypass grafting; coronary artery reconstruction; coronary artery bypass grafting; onlay patch anastomosis
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