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No-Touch Method for Off-Pump Coronary Artery Bypass Grafting

Bülent Tünerir, MD, Recep Aslan, MD, Turul Kural, MD, Yavuz Beoul, MD

Department of Cardiovascular Surgery Osmangazi University Medical School and Research Hospital Eskiehir, Turkey

For reprint information contact: Bülent Tünerir, MD Hasan Polatkan Bulvari No. 122 D. 19 Eskiehir 26120, Turkey Tel: 90 222 225 0606 Fax: 90 222 230 6215 Email:utuneri1{at}akbank.com.tr

We describe a simple no-touch method of coronary artery bypass grafting that facilitates anastomosis on the beating heart by means of a blower. This technique avoids clamping or occluding the target coronary artery. We successfully performed 22 distal anastomoses in 12 direct off-pump coronary artery bypass operations with no in-hospital mortality or cardiac complications. Two patients underwent a left anterolateral small thoracotomy for single-vessel disease and 10 had a median sternotomy for double-vessel disease. The technique provided a dry operative field and adequate exposure at the moment of suture.

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