Intraoperative color Doppler ultrasound assessment of LIMA-to-LAD anastomoses in off- pump coronary artery bypass grafting Rune Haaverstad, MD, PhD, Nicola.

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Presentation transcript:

Intraoperative color Doppler ultrasound assessment of LIMA-to-LAD anastomoses in off- pump coronary artery bypass grafting Rune Haaverstad, MD, PhD, Nicola Vitale, MD, PhD, Ole Tjomsland, MD, PhD, Arve Tromsdal, MD, Hans Torp, PhD, Stein O Samstad, MD, PhD The Annals of Thoracic Surgery Volume 74, Issue 4, Pages 1390-1394 (October 2002) DOI: 10.1016/S0003-4975(02)04058-4

Fig 1 Intraoperative color Doppler scan of a left internal mammary artery to left anterior descending coronary artery anastomosis performed on beating heart with a 10 MHz GE Vingmed transducer. With sterile gel as conduction medium, the ultrasound transducer (arrow) was applied epicardially between the paddles of the stabilizer. The Annals of Thoracic Surgery 2002 74, 1390-1394DOI: (10.1016/S0003-4975(02)04058-4)

Fig 2 Details of the left internal mammary artery to left anterior descending coronary artery anastomosis, viewed in the anterior-posterior plane, assessed by epicardial color Doppler ultrasound. (IMA= internal mammary artery;LAD= left anterior descending coronary artery;DA= length of the anastomosis proper;DM= diameter of left internal mammary artery.) The Annals of Thoracic Surgery 2002 74, 1390-1394DOI: (10.1016/S0003-4975(02)04058-4)

Fig 3 Intraoperative color Doppler ultrasound of a satisfactory left internal mammary artery to left anterior descending coronary artery anastomosis. There are no signs of stenosis. The D1/D2 ratio is 1. (DA= length of the anastomosis proper;DM= diameter of left internal mammary artery.) The Annals of Thoracic Surgery 2002 74, 1390-1394DOI: (10.1016/S0003-4975(02)04058-4)