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Ann Thorac Surg 2003;76:954-955
© 2003 The Society of Thoracic Surgeons

How to do it

The "{omega}-Anastomosis": a new revascularization technique for coronary bifurcations

Massimo Bonacchi, MDa*, Edvin Prifti, MD, PhDa, Gabriele Giunti, MDa

a Department of Cardiac Surgery, Careggi Hospital, University of Florence, Florence, Italy

Accepted for publication December 5, 2002.

* Address reprint requests to Dr Bonacchi, Department of Cardiac Surgery, University Hospital of Florence, Policlinico Careggi, Viale Morgagni, 85, 50134 Firenze, Italy
e-mail: mbonacchi{at}hotmail.com

We report the "{omega}-anastomosis," a new technique permitting the revascularization of both coronary branches beyond a bifurcation by using a single arterial graft. This technique consists of a longitudinal incision in the main coronary artery, which extends to both coronary branches beyond the bifurcation. The arterial conduit’s distal extremity is cut vertically and tailored to produce a "bipetal" shape, which is used to enlarge and create an acceptable roof for both coronary branches beyond the bifurcation.




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[Abstract] [Full Text] [PDF]


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