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The coronary artery bypass conduit: II

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1 The coronary artery bypass conduit: II
The coronary artery bypass conduit: II. Assessment of the quality of the distal anastomosis  J.Alan Wolfe, MD  The Annals of Thoracic Surgery  Volume 72, Issue 6, Pages S2253-S2258 (December 2001) DOI: /S (01)

2 Fig 1 Graft flow measurement technique. Cardioplegic solution pumped through proximal end of graft at a mean pressure of 100 mg Hg after completion of distal anastomosis. I.D. = inside diameter; W.T. = wall thickness. The Annals of Thoracic Surgery  , S2253-S2258DOI: ( /S (01) )

3 Fig 2 Reversal of acidosis with establishment of flow through graft indicates adequate revascularization. CP = cardioplegic solution; LIMA = left internal mammary artery; OMB = obtuse marginal branch; XC = cross-clamp. The Annals of Thoracic Surgery  , S2253-S2258DOI: ( /S (01) )

4 Fig 3 Technically adequate anastomosis. CP = cardioplegic solution; LAD = left anterior descending coronary artery; LIMA = left internal mammary artery; SVG = saphenous vein graft; top tracing = pH in the posterior LV wall; bottom tracing = pH in the anterior wall. The Annals of Thoracic Surgery  , S2253-S2258DOI: ( /S (01) )

5 Fig 4 Limited distal runoff caused by severe coronary artery vessel disease. CP = cardioplegic solution; LIMA = left internal mammary artery; XC = crossclamp. The Annals of Thoracic Surgery  , S2253-S2258DOI: ( /S (01) )


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