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Ann Thorac Surg 2006;81:326
© 2006 The Society of Thoracic Surgeons

New technology

Invited commentary

Antonio Calafiore, MD

Division of Cardiac Surgery, European Hospital, Roma San Camillo de'Lellis Hospital, Via C Forlanini 50, Chieti, 66100 Italy

(Email: calafiore{at}unich.it).

The device described in this report [1] is a technical advancement toward a better evaluation of the perioperative quality of the coronary arteries and distal anastomoses. During the last 10 years, coronary surgery changed as has never happened before. We believed that the extended utilization of arterial conduits, the development of the beating heart, and the use of surgical approaches alternate to median sternotomy would be milestones for the future of our practice. At the same time, the recent evolution of interventional cardiology vanified the great majority of our achievements. Any tool we have now, in a period in which the great majority of patients are unstable, old and redo (or re-redo), and the quality of the coronary vessel is often poor, is welcome to increase the quality of our surgery, the only extra value in our hands. With this view, the ultrasound mini-transducer is a valid addition to what we have today to control the quality of our anastomosis. However, differently from transit-time Doppler flow measurement and perioperative imaging, it can provide us useful information also before surgery, exploring the quality of coronary bed.


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  1. Budde PJ, Bakker PFA, Meijer R, Borst C, Gründeman PF. Ultrasound mini-transducer with malleable handle for coronary artery surgery Ann Thorac Surg 2006;81:322-326.[Abstract/Free Full Text]




This Article
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