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Japanese

Coronary Artery Anastomosis Kiyoshi Doi 1 1Department of Cardiovascular Surgery, Gifu University Keyword: coronary artery bypass grafting , coronary artery anastomosis pp.777-780
Published Date 2019/9/20
DOI https://doi.org/10.15106/j_kyobu72_777
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It is well known that proximal part of a sequential bypass grafting often demonstrates better patency than distal part does due to more favorable hemodynamics of side-to-side anastomosis. Therefore, we adopt side-to-side anastomosis (parallel fashion) even for most distal part of bypass grafting. In addition to superiority in hemodynamics, side-to-side anastomosis (parallel fashion) provides a couple of advantages such as ①easiness in creating a very long opening of the anastomosis, ②compatibility in size (diameter) mismatch between graft conduit and coronary artery, and ③excellent hemostasis from the suture line. This article describes technical details and tips of side-to-side anastomosis in both parallel fashion and diamond (cross direction) fashion.


© Nankodo Co., Ltd., 2019

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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