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Ann Thorac Surg 2004;78:352-354
© 2004 The Society of Thoracic Surgeons

How to do it

A simple technique of introducing intracoronary shunts for off-pump coronary artery bypass surgery

Hitoshi Yokoyama, MD, PhD*a, Shinya Takase, MDa, Yukitoki Misawa, MDa, Koki Takahashi, MDa, Yoichi Sato, MDa, Hirono Satokawa, MDa

a Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan

Accepted for publication May 14, 2003.

* Address reprint requests to Dr Yokoyama, Department of Cardiovascular Surgery, Fukushima Medical University, 1-Hikarigaoka, Fukushima 960-1295, Japan
e-mail: hitoshiy{at}fmu.ac.jp

We describe a simple technique of introducing intracoronary shunts for off-pump coronary artery bypass. This technique, with an aid of micro-bulldog clamp, provides both a test clamp with ischemic preconditioning effect, and a quick and easy introduction of intracoronary shunt, giving a clear visualization of coronary anastomosis site and distal coronary artery perfusion. We recommend this technique as another effective modality in off-pump coronary artery bypass surgery.




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