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Eur J Cardiothorac Surg 1999;16:478-479
© 1999 Elsevier Science NL

How to do it

Off pump coronary bypass grafting of the circumflex artery

Bristol Heart Institute, Bristol Royal Infirmary, Bristol BS2 8HW, UK

Corresponding author. Tel.: +44-0-117-928-3145; fax: +44-0-117-929-9737
e-mail: g.d.angelini{at}bristol.ac.uk

The circumflex artery is the most challenging vessel to be grafted off pump, since it requires lifting and rotating of the heart. A method of exposure and stabilisation of the circumflex during construction of the anastomosis is described. The technique, which is routinely used in our institution, is effective, simple and safe.

Key Words: Coronary bypass • Circumflex artery • Grafting

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