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Right arrow Minimally invasive surgery

Eur J Cardiothorac Surg 2001;19:105-107
© 2001 Elsevier Science NL

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A simple method for heart stabilization during off-pump multi-vessel coronary artery bypass grafting: surgical technique and short term results

Akhtar Rama, Siamak Mohammadi, Pascal Leprince, Iradj Gandjbakhch

Department of Thoracic and Cardiovascular Surgery, La Pitié Hospital, 47 Boulevard de l'hôpital, 75013 Paris, France

Received 18 April 2000; received in revised form 6 September 2000; accepted 19 October 2000.

Corresponding author. Tel.: +33-1-4217-7005; fax: +33-1-4217-7030
e-mail: siamakmohammadi{at}yahoo.com

Minimally invasive cardiac surgery regroups several technical options including small incision, video-assisted surgery and beating heart surgery but mechanical stabilization for off-pump multi-vessel coronary artery bypass grafting (CABG), remains a problem. We developed a simple method of stabilization with a fenestrated polytetrafluroethylene patch. Four sutures were passed deeply into the myocardium surrounding the anastomotic site. The sutures were then passed through the patch. Gentle traction on tied sutures, allowed immobilization and exposure in the selected area. This method which was carried in 95 patients, provides good stabilization for performing off-pump multi-vessel CABG in all cardiac territories.

Key Words: Off-pump coronary artery bypass grafting • Patch stabilization • Surgical technique






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Copyright © 2001 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.