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Ann Thorac Surg 2004;77:379-380
© 2004 The Society of Thoracic Surgeons

Correspondence

Off-pump coronary artery bypass grafting using arterial grafts exclusively: aiming for an absolute "no-touch" aortic technique

Olivier Chavanon, MD, Mohamed Abdennadher, MD, Dominique Blin, MD

Service de Chirurgie Cardiaque, CHU Grenoble, BP 217 Grenoble Cedex 9, France

e-mail: ochavanon@chu-grenoble.fr

The first 20% of the full text of this article appears below.

To the Editor:

We read with great interest the article by Haase and colleagues [1] comparing off-pump coronary artery bypass grafting (OPCAB) using an arterial graft with standard CABG. Although it was not clear whether venous grafts were used for the standard CABG group, we agree with the policy of combining OPCAB with arterial grafts. The OPCAB procedure has well-known advantages (decrease in myocardial injury, avoidance of cardiopulmonary bypass [CPB] economic considerations), and the use of an arterial graft is justified because of the superiority of these grafts compared with venous conduits with reference to long-term patency and patient survival.

However, a third justification for this combined approach should be stressed: avoidance of manipulation of the aorta, ie, absolutely no touching this vessel. In patients undergoing cardiac surgical procedures, significant atheromatous disease . . . [Full Text of this Article]






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Copyright © 2004 by The Society of Thoracic Surgeons.