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Asian Cardiovasc Thorac Ann 2007;15:123-126
© 2007 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTIONS

Deep Pericardial Suture vs Apical Suction for Off-Pump Bypass Grafting

Hasim Ustunsoy, MD, Hakki Kazaz, MD, Mehmet A Celkan, MD, Celalettin Kayiran, MD, Rengin Hayta, MD, Ekrem Bayar, MD

Department of Cardiovascular Surgery, Gaziantep University School of Medicine, Gaziantep, Turkey

For reprint information contact: Hakki Kazaz, MD Tel/Fax: 90 342 360 1126 Email: hakki{at}kazaz.info, Department of Cardiovascular Surgery, Gaziantep University School of Medicine, Universite Bul Kilis yolu, Gaziantep, Turkey.

Hemodynamic changes during heart luxation and stabilization are major problems in off-pump coronary artery bypass surgery. The hemodynamic effects of an apical suction device were compared with those of the classic posterior pericardial suture in 45 patients with multivessel coronary disease undergoing off-pump coronary artery bypass. Mean age was 63.78 ± 8.11 years; 31 patients were male and 14 were female. Transesophageal Doppler echocardiography was used for hemodynamic monitoring. All hemodynamic parameters were significantly better when the apical suction device was used to position the heart for anastomoses on the posterior descending and circumflex arteries.




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P. Saxena and R. Tam
PAPAVERINE HYDRODISSECTION OF INTERNAL THORACIC ARTERY
Asian Cardiovasc Thorac Ann, December 1, 2007; 15(6): 542 - 542.
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