Cerebral microembolization during off-pump coronary artery bypass surgery with the Symmetry aortic connector device Mona Skjelland, MD, Jacob Bergsland,

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Cerebral microembolization during off-pump coronary artery bypass surgery with the Symmetry aortic connector device Mona Skjelland, MD, Jacob Bergsland, MD, Runar Lundblad, MD, PhD, Per Snorre Lingaas, MD, Kjell Arne Rein, MD, PhD, Steinar Halvorsen, MD, Jan L. Svennevig, MD, PhD, Erik Fosse, MD, PhD, Rainer Brucher, PhD, David Russell, MD, PhD, FRCPE The Journal of Thoracic and Cardiovascular Surgery Volume 130, Issue 6, Pages 1581-1585 (December 2005) DOI: 10.1016/j.jtcvs.2005.08.015 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A solid microemboli (white) entering the middle cerebral artery during OPCAB with the Symmetry connector. The reflection of ultrasound was greater at insonation of 2.5 MHz (bottom) compared with that at 2.0 MHz (top). The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1581-1585DOI: (10.1016/j.jtcvs.2005.08.015) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A burst of multiple gaseous microemboli in the middle cerebral artery during a proximal vein graft anastomosis with the Symmetry connector system. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 1581-1585DOI: (10.1016/j.jtcvs.2005.08.015) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions