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The early clinical and angiographic outcome of sequential coronary artery bypass grafting with the off-pump technique  Sharif Al-Ruzzeh, FRCS, Shane George,

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Presentation on theme: "The early clinical and angiographic outcome of sequential coronary artery bypass grafting with the off-pump technique  Sharif Al-Ruzzeh, FRCS, Shane George,"— Presentation transcript:

1 The early clinical and angiographic outcome of sequential coronary artery bypass grafting with the off-pump technique  Sharif Al-Ruzzeh, FRCS, Shane George, FRCA, Mahmoud Bustami, MRCP, Koki Nakamura, MD, Shahid Khan, FRCS, Magdi Yacoub, FRCS, Mohamed Amrani, FETCS  The Journal of Thoracic and Cardiovascular Surgery  Volume 123, Issue 3, Pages (March 2002) DOI: /mtc Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

2 Fig. 1 One deep pericardial retraction suture is placed at posterior fibrous pericardium close and medial to most proximal part of inferior vena cava(IVC). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

3 Fig. 2 Suture acts as lever that helps surgeon manipulate and rotate heart to vertical and lateral positions with Octopus. Wet gauze swab is placed between suture and posterior surface of heart to avoid tearing myocardium or compressing posterior coronary vessels. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

4 Fig. 3 Most sequential grafts (64.4%) involved circumflex territory vessels (circumflex coronary artery [Cx], first obtuse marginal artery [OM-1], second obtuse marginal artery [OM-2 ]) either fully or partially. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

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