Minimally Ischemic Off-Pump Coronary Artery Bypass Grafting: Active Perfusion-Assist With Nitroglycerin-Supplemented Blood

Muraki, Satoshi MD
Tsukamoto, Masaru MD
Komatsu, Kanshi MD
Sakata, Jyunichi MD
Ohori, Syunsuke MD
Hasegawa, Takeo CE
Abe, Tomio MD

^aSecond Department of Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan

Address reprint requests to Dr Muraki, Second Department of Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan; e-mail: [email protected].

Accepted for publication Nov 26, 2002.

The Annals of Thoracic Surgery 76(1):p 298-300, July 2003. | DOI: 10.1016/S0003-4975(02)04895-6

During off-pump coronary artery bypass surgery, concern remains about possible myocardial injury associated with the transient occlusion and stabilization of the target vessels. To try to minimize myocardial ischemia and achieve hemodynamic stability, we used a coronary perfusion catheter combined with the perfusion-assisted direct coronary artery bypass system, which enables active and modified coronary perfusion of the target vessel throughout the duration of multiple grafting.