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Ann Thorac Surg 2004;78:e38-e40
© 2004 The Society of Thoracic Surgeons

How to do it

Multivessel distal sutureless off-pump coronary artery bypass grafting procedure using magnetic connectors

Filip P. Casselman, MD, PhDa*, Massimo Meco, MDa, Helge Dom, MDa, Luc Foubert, MD, PhDb, Frank Van Praet, MD, FETCSa, Hugo Vanermen, MD, FETCSa

a Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Aalst, Belgium
b Anesthesia and Intensive Care, OLV Clinic, Aalst, Belgium

Accepted for publication July 3, 2003.

* Address reprint requests to Dr Casselman, Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Moorselbaan 164, 9300 Aalst, Belgium
e-mail: filip.casselman{at}olvz-aalst.be

Proximal anastomotic devices for beating heart coronary artery bypass grafting (CABG) have been developed to avoid ascending aortic manipulation. Distal anastomotic devices may become an extremely useful tool to assist in enabling minimally invasive (robotic) multivessel CABG. As a transition phase toward this ultimate goal we have been using a distal anastomotic device for the left internal mammary artery-left anterior descending artery (LIMA-LAD) anastomosis. In addition we recently performed two off-pump coronary artery bypass procedures that were distally completely sutureless.






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