Coronary reoperation via small laparotomy using right gastroepiploic artery without CPB.

Grandjean, J G; Mariani, M A; Ebels, T · Ann Thorac Surg · 1996

other · Level V

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Abstract

The elective use of the right gastroepiploic artery as an in situ graft has been well established in coronary surgery. We propose a surgical technique for patients undergoing coronary reoperations with a patent mammary graft to the left anterior descending artery. The gastroepiploic artery is used through a small laparotomy when only the right coronary artery or the posterior descending artery needs revascularization. The described technique allows avoidance of both resternotomy and cardiopulmonary bypass.

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